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)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