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:
Health care specialties
| Specialty | Code | License # | 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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