Provider Demographics
NPI:1962525378
Name:PERSING, DANICA L (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DANICA
Middle Name:L
Last Name:PERSING
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19010 E 10TH CT
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99016-7800
Mailing Address - Country:US
Mailing Address - Phone:509-228-9219
Mailing Address - Fax:509-228-9219
Practice Address - Street 1:322 W NORTH RIVER DR
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-3208
Practice Address - Country:US
Practice Address - Phone:509-241-2050
Practice Address - Fax:509-324-3702
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00021294183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist