Individual
COLBY WAIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3411 E KOLONELS WAY, PORT ANGELES, WA 98362-9089
(360) 452-3105
(360) 452-1231
Mailing address
3411 E KOLONELS WAY, PORT ANGELES, WA 98362-9089
(360) 452-3105
(360) 452-1231
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00060049
WA
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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