Provider Demographics
NPI:1740382068
Name:ARMSRTRONG, KELLY O'NEILL (RPH)
Entity Type:Individual
Prefix:
First Name:KELLY
Middle Name:O'NEILL
Last Name:ARMSRTRONG
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10612 S. FORNEY ROAD
Mailing Address - Street 2:
Mailing Address - City:MICA
Mailing Address - State:WA
Mailing Address - Zip Code:99023
Mailing Address - Country:US
Mailing Address - Phone:509-927-0432
Mailing Address - Fax:509-927-7862
Practice Address - Street 1:104 W 5TH AVE
Practice Address - Street 2:SUITE #180
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-4880
Practice Address - Country:US
Practice Address - Phone:509-383-4117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2013-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00011689183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist