Provider Demographics
NPI:1699174318
Name:CHAFFEE, PHILIP L (RPH)
Entity type:Individual
Prefix:MR
First Name:PHILIP
Middle Name:L
Last Name:CHAFFEE
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 1:2301 W WELLESLEY ST
Mailing Address - Street 2:WALMART PHARMACY
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99205-0000
Mailing Address - Country:US
Mailing Address - Phone:509-327-2015
Mailing Address - Fax:509-327-2154
Practice Address - Street 1:2301 W WELLESLEY AVE
Practice Address - Street 2:WALMART PHARMACY
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-5004
Practice Address - Country:US
Practice Address - Phone:509-327-2015
Practice Address - Fax:509-327-2154
Is Sole Proprietor?:No
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00041658183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist