Funkhouser, Clinton Lee

Funkhouser, Clinton Lee is an individual health care provider with primary practice located at 5520 N Division St , Spokane WA 99208-1211. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Funkhouser, Clinton Lee can be contacted via phone (509) 489-3603.

Contact Information

Primary practice address
5520 N Division St Spokane WA 99208-1211
Phone: (509) 489-3603
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PH00009581 Washington
Pharmacy Service Providers / Pharmacist 183500000X RPH-0009464 Oregon
Pharmacy Service Providers / Pharmacist 183500000X 5302032153 Michigan

Profile Details

NPI number 1336137355
LBN Legal business name Funkhouser, Clinton Lee
Credentials R.PH.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Jul 8th, 2007 - about 17 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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