Provider Demographics
NPI:1265137533
Name:LITTLEFIELD, CHASE ALLEN (PHARMD)
Entity type:Individual
Prefix:
First Name:CHASE
Middle Name:ALLEN
Last Name:LITTLEFIELD
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 1:3105 S ASSEMBLY RD APT C206
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99224-0008
Mailing Address - Country:US
Mailing Address - Phone:425-275-3445
Mailing Address - Fax:
Practice Address - Street 1:12222 E SPRAGUE AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-5151
Practice Address - Country:US
Practice Address - Phone:509-924-4922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH61315111183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist