Fazzone, Jaime Lynn

Fazzone, Jaime Lynn is an individual health care provider with primary practice located at 5901 N Lidgerwood St Ste 223 , Spokane WA 99208-1122. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Ambulatory Care, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is her primary health care specialty. Fazzone, Jaime Lynn can be contacted via phone (509) 444-8200.

Contact Information

Primary practice address
5901 N Lidgerwood St Ste 223 Spokane WA 99208-1122
Phone: (509) 444-8200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Ambulatory Care 1835P2201X PH60780614 Washington
Pharmacy Service Providers / Pharmacist 183500000X PH60780614 Washington

Profile Details

NPI number 1861994675
LBN Legal business name Fazzone, Jaime Lynn
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2018
Last updated May 12th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861994675 NPPES
Washington Other PH60780614 WASHINGTON STATE PHARMACY QUALITY ASSURANCE COMMISSION

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