About Us

Our knowledge, education and compassion are unmatched.

Covering general pharmaceuticals but specializing in mental and behavioral health in the Spokane area, 1st Avenue Pharmacy is owned by certified pharmacist, Rob Leland. He has built a staff of certified pharmacists, qualified technicians and compassionate support people to deliver top-notch care and services to people and facilities throughout eastern and central Washington.

1st Avenue Pharmacy offers many specialty services that are unique to this region, and to the mental health community. From our “no appointment needed” shot clinic to Clozapine monitoring and on site visits to group homes, we strive to serve the greater Spokane area with compassion and commitment.

Service and knowledge is the core of our business. We serve clients with mental illness, behavioral health disorders, substance abuse disorders and developmental delays. Our dedicated and experienced pharmacists work one-on-one with customers to carefully manage and monitor their medications as well as their well-being and mental health. The specialized services we offer are designed to empower individuals with mental illness to remain independent, even with complicated medication regimens. Through compassion and commitment, we encourage independence in the mental health community by bridging the gap between their illness and prescription needs.

Recent News

Community Pharmacy Profile: 1st Avenue Pharmacy, College of Psychiatric and Neurologic Pharmacists


Rob Leland – Pharmacy Manager and Ownerrob

Rob is the founder and head pharmacist of 1st Avenue Pharmacy. Rob has a Doctorate of Pharmacy degree from Washington State University and 20-plus years experience working directly with mental health providers and consumers. He possesses the expertise and knowledge required to provide the mental health community with innovative services and compassionate, one-on-one attention. Rob Leland was voted Pharmacist of the Year by the Spokane Pharmacy Association in 2008. “Pharmacy Rob”, as he is affectionately called by our patrons, is always able and more than willing to go the extra mile for his patients. His devotion to a job well done reaches beyond the walls of his pharmacy. He is liked and appreciated by everyone he encounters in the professional community, from doctors and nurses, to drug-reps and other pharmacists.

Dana Larson – Clinical Pharmacist

Dana joined the staff in 2009. She graduated from Washington State University with a Doctorate of Pharmacy degree and a bachelor’s degree in General Biological Science providing her with training in a wide range of clinical pharmacy services. In addition to mental health, Dana’s interests also include pharmacy law and diabetes management. Dana’s active membership in the Washington State Pharmacy Association, Spokane Pharmacy Association and College of Psychiatric and Neurologic Pharmacists helps keep her on the cutting edge of the latest developments in the field of pharmacy. She is currently preparing for the Psychiatric Pharmacy Specialty Certification Exam to add Board Certified Psychiatric Pharmacist to her list of credentials

Sarah Dubois – Clinical Pharmacist

Sarah, graduated from Washington State University in 2013 with a Doctorate of Pharmacy giving her a fresh knowledge of clinical pharmacy . She joined the team in 2013 as an on-call pharmacist and has increased in time and involvement in the pharmacy since. Along with being deeply passionate about mental health care in the community, Sarah has jump started our facilities’ INR monitoring programs and contributed to improving pharmacy effectiveness in general. She aspires to continue her involvement in the field of psychiatric pharmacy and become a Board Certified Psychiatric Pharmacist like many of her colleagues at 1st Avenue Pharmacy.

Ethan Adams – Clinical Pharmacist

Ethan graduated from University of Utah in 2011 with a Doctorate of Pharmacy. He has experience in retail and long-term care consulting pharmacy. Ethan is passionate about patient education and diabetes management. He also is excited to gain experience in psychiatric pharmacy and is working towards becoming a Board Certified Psychiatric Pharmacist.

Aaron Ziegler – Clinical Pharmacist

Aaron graduated with his Doctorate of Pharmacy from Washington State University College of Pharmacy in 2005. He has worked mainly in retail community pharmacy, providing excellent patient care along with immunizing services. Working with the patients and their health care providers is a rewarding profession that continues to make him smile when coming to work. He is an active member with the Washington State Pharmacy Association, Spokane Pharmacy Association, and an involved with WSU Spokane College of Pharmacy.

Alex Heyfetz – Clinical Pharmacist

Alex graduated with his Bachelor’s degree in Biology from UCLA and a Doctorate of Pharmacy from WSU College of Pharmacy. He has extensive experience working in Long-Term Care and Community Pharmacy settings. Alex is very passionate about helping patients with all aspects of medication therapy as well as healthy lifestyle, including diet and exercise, and is always eager to learn about new medical research especially in relation to behavioral health. Alex is fluent in Russian language and is here to help the Russian-speaking mental health community as well. He believes in holistic approach to medicine and having an objective connection with patients- understanding and trying to do his best to help with any health-related issues they might have.

Tammi Falk – Registered Nurse

Tammi joined 1st Avenue Pharmacy staff in January of 2015 to administer injections and draw blood for medication monitoring. A registered nurse since 1999, her experience has been in HIV/AIDS care, healthcare for the homeless, hospice, chemical dependency, refugee healthcare and mental illness.

Pharmacy Support Staff

Our team of pharmacy technicians put the patient first and are not only skilled with patient care but also attention to detail.


1st Avenue Pharmacy offers many specialties to the Spokane behavioral health community. They are grouped by the following:

Specialities for Providers

  • Mental health specific pharmacy 
  • First pharmacy in Washington State to offer special services to mental health community
  • Only pharmacy in Washington with Point of Care Testing (POCT) for clozapine with patient preferred finger stick
  • Staff adept at billing Medicare-D and Medicaid along with third party insurance

Specialities for Patients

  • Ease of Clozapine monitoring
  • No appointment needed for shot clinic or clozapine testing
  • Convenient location
  • Friendly staff
  • Adherence packaging (daily, weekly, bi-weekly, monthly)
  • Delivery options
  • Nice waiting room
  • One-on-one private care
  • medication synchronization to limit unnecessary trips to the pharmacy

Specialities for Group Homes

  • Medical Administration Records (paper or QuickMAR)
  • Medication Storage Cart
  • 24/7 Availability for Emergencies
  • Delivery Service available
  • IM Injections at your Facility
  • Clozapine Point of Care Testing at your Facility
  • SynMed Bubble Packaging
  • Automatic Cycle Fill on Routine Medications
  • E-MAR (QuickMAR)
  • Medication Administration Record
  • Medication Education
  • Medication Storage Carts
  • Immunizations

For more information about our services for Group Homes and Assisted Living Facilities, visit our Group Homes/ALF page.

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