Provider Demographics
NPI:1073806113
Name:LOFF, CARMEN A (PHARMD)
Entity Type:Individual
Prefix:
First Name:CARMEN
Middle Name:A
Last Name:LOFF
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4514 S REGAL ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-7937
Mailing Address - Country:US
Mailing Address - Phone:509-448-9063
Mailing Address - Fax:509-448-9661
Practice Address - Street 1:4514 S REGAL ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-7937
Practice Address - Country:US
Practice Address - Phone:509-448-9063
Practice Address - Fax:509-448-9661
Is Sole Proprietor?:No
Enumeration Date:2011-05-23
Last Update Date:2011-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH 60091963183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist