Provider Demographics
NPI:1578284964
Name:LATHROP, RYAN ANDREW (PHARMD)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:ANDREW
Last Name:LATHROP
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3609 W GLASS AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99205-2176
Mailing Address - Country:US
Mailing Address - Phone:509-954-2678
Mailing Address - Fax:
Practice Address - Street 1:3609 W GLASS AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-2176
Practice Address - Country:US
Practice Address - Phone:509-954-2678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-06
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00022141183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist