Individual
MR. DAVID WAYNE KOEHMSTEDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
19475 7TH AVE NE, POULSBO, WA 98370-7527
(360) 697-2209
(360) 697-5979
Mailing address
19475 7TH AVE NE, RITE AID PHARMACY, POULSBO, WA 98346
(360) 697-2209
(360) 697-5979
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00011583
WA
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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