Provider Demographics
NPI:1225276264
Name:SPOKANE VALLEY MEDICAL, INC.
Entity Type:Organization
Organization Name:SPOKANE VALLEY MEDICAL, INC.
Other - Org Name:RHINORX CONSULTING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:M
Authorized Official - Last Name:REDMOND
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:509-928-6400
Mailing Address - Street 1:509 N SULLIVAN RD # C320
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99037-8531
Mailing Address - Country:US
Mailing Address - Phone:509-928-6400
Mailing Address - Fax:509-928-6441
Practice Address - Street 1:12509 E MISSION AVE STE 103
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216-1061
Practice Address - Country:US
Practice Address - Phone:509-928-6400
Practice Address - Fax:509-928-6441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-29
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies