Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Keith Persicke, PHAMD

Individual provider Pharmacist · NPI 1952632572

Mr. Keith Persicke, PHAMD is a Pharmacist in Spokane Valley, Washington. Practices as a sole proprietor. Licensed in Montana and Washington.

Licensed in
MT, WA
In the registry since
2010
Specialties on file
2

Practice location Address checks out

15510 E Sprague Ave
Spokane Valley, WA 99037-8945
Phone: (509) 891-0735
Fax: (509) 891-4082
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PH00049819 (WA)
Pharmacist Taxonomy 183500000X · Licence MT4525 (MT)

Record details

NPI number1952632572
Entity typeIndividual (Type 1)
GenderMale
Credentials PHAMD
Sole proprietorYes
NPI enumeratedJanuary 21, 2010
Last updated in NPPESJanuary 21, 2010

Other providers in Spokane Valley