Provider Demographics
NPI:1932409844
Name:LUTHER, RANDALL D (RPH)
Entity Type:Individual
Prefix:MR
First Name:RANDALL
Middle Name:D
Last Name:LUTHER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:933 E MISSION AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-1923
Mailing Address - Country:US
Mailing Address - Phone:509-482-2089
Mailing Address - Fax:509-482-2785
Practice Address - Street 1:933 E MISSION AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-1923
Practice Address - Country:US
Practice Address - Phone:509-482-2089
Practice Address - Fax:509-482-2785
Is Sole Proprietor?:No
Enumeration Date:2010-10-25
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00010759183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist