Male or Other

Mr. Clinton L. Funkhouser R.PH.

Pharmacist in Spokane, WA(View on Map)

Full Name

Mr. Clinton Lee Funkhouser R.PH.

NPI Number

1336137355

NPI Type

Individual Provider

Gender

Male

Enumeration Date

10/13/2005

Specialties

(Taxonomies)

Code

183500000X

Primary Taxonomy

Yes

Licenses

State

Michigan
Oregon
Washington

License Number

5302032153
RPH-0009464
PH00009581

Contact
Information

Purpose

Mailing
Location

Address

14912 E LONGFELLOW AVE
5520 N DIVISION ST

City

Spokane Valley
Spokane

State

WA
WA

Postal Code

99216-1326
99208-1211

Country

US
US

Telephone Number

(509) 928-8936
(509) 489-3603

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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