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 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Ambulatory Care, Pharmacy Service Providers / Psychiatric. 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PH60780614 | Washington |
| Pharmacy Service Providers / Ambulatory Care | 1835P2201X | PH60780614 | Washington |
| Pharmacy Service Providers / Pharmacist | 183500000X | 03444635 | Ohio |
| Pharmacy Service Providers / Psychiatric | 1835P1300X | 03444635 | Ohio |
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 | Dec 18th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861994675 | NPPES |
| Washington | Other | PH60780614 | WASHINGTON STATE PHARMACY QUALITY ASSURANCE COMMISSION |
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