Provider Demographics
NPI:1477000560
Name:ESTRADA, BONNIE CHIH (PHARMD)
Entity Type:Individual
Prefix:
First Name:BONNIE
Middle Name:CHIH
Last Name:ESTRADA
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 1:1802 N MONROE ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99205-4528
Mailing Address - Country:US
Mailing Address - Phone:509-343-6252
Mailing Address - Fax:
Practice Address - Street 1:1802 N MONROE ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-4528
Practice Address - Country:US
Practice Address - Phone:509-343-6252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-06
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60666062183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist