Organization
JEFFERSON FAMILY PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID WAYNE KOEHMSTEDT RPH (CEO PHARMACIST)
(360) 697-5995
Entity
Organization
Contact information
Practice address
2005 E SIMS WAY, PORT TOWNSEND, WA 98368-6905
(360) 385-3005
(360) 385-3880
Mailing address
2005 E SIMS WAY, PORT TOWNSEND, WA 98368-6905
(360) 385-3005
(360) 385-3880
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
WA
Other
Enumeration date
08/01/2016
Last updated
04/04/2017
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