Provider Demographics
NPI:1770945925
Name:HARRINGTON, STACY (RPH)
Entity type:Individual
Prefix:
First Name:STACY
Middle Name:
Last Name:HARRINGTON
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 1:228 W HIGH DR
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99203-1521
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:104 S FREYA ST STE 225
Practice Address - Street 2:TURQUOISE BUILDING
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-4887
Practice Address - Country:US
Practice Address - Phone:509-536-1900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-27
Last Update Date:2016-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH54808183500000X
TX37634183500000X
IDP5963183500000X
ORRPH-0013360183500000X
MTPHA-14936183500000X
AK2068183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist