Individual
GRANT P KOLB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 BOLSTAD AVE, LONG BEACH, WA 98631
(360) 642-3200
Mailing address
PO BOX B, ILWACO, WA 98624-0167
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61459653
WA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PH61459653
WA
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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