Individual
JERRY P. KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1758 FRONT ST, #106, LYNDEN, WA 98264-1261
(360) 354-1226
Mailing address
9160 KENDALL RD, SUMAS, WA 98295-8608
(360) 988-5101
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00011862
WA
Other
Enumeration date
05/15/2007
Last updated
07/06/2017
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