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
Mailing address21200 E Country Vista Dr, J101, Liberty Lake, WA 99019-7636

Other providers in Spokane Valley