Provider Demographics
NPI:1447087010
Name:KILLINEN, DANICA B (RPH)
Entity type:Individual
Prefix:DR
First Name:DANICA
Middle Name:B
Last Name:KILLINEN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:DR
Other - First Name:DANICA
Other - Middle Name:B
Other - Last Name:SPRAGUE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:8523 W PIRATES CT
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99224-7075
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1802 N MONROE ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-4528
Practice Address - Country:US
Practice Address - Phone:509-343-6252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-17
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61565080183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA61565080OtherPHARMACY LICENSE