Provider Demographics
NPI:1619226446
Name:FRITEL, GARTH (PHARMD)
Entity Type:Individual
Prefix:
First Name:GARTH
Middle Name:
Last Name:FRITEL
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 1:1011 E 2ND AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202
Mailing Address - Country:US
Mailing Address - Phone:509-744-9891
Mailing Address - Fax:509-742-3494
Practice Address - Street 1:1011 E 2ND AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202
Practice Address - Country:US
Practice Address - Phone:509-744-9891
Practice Address - Fax:509-742-3494
Is Sole Proprietor?:No
Enumeration Date:2012-09-07
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00063736183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist