Individual
JEFFREY J CHABOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
101 SPRUCE, ILWACO, WA 98624
(360) 642-3133
(360) 642-5133
Mailing address
PO BOX B, ILWACO, WA 98624-0167
(360) 642-3133
(360) 642-5133
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
00018787
WA
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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