David Ater Bol, PHARMD
Individual provider Active NPI Pharmacist · Quincy, WA
NPI 1154900918 · NPPES record last updated Oct 21, 2025
Key facts
- NPI
- 1154900918
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH61072771 (WA)
- Practice address
- 1450 1St Ave SW
Quincy, WA 98848-1695 - Phone
- (509) 787-0735
- Fax
- (509) 787-3752
- NPI assigned
- Apr 7, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH61072771 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past |
Accepting new patients | |
| Thrifty Payless Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH61072771 | WA | Yes |
Addresses
Primary practice location
1450 1St Ave SW
Quincy, WA 98848-1695
Mailing address
1450 1St Ave SW
Quincy, WA 98848-1695
Phone (509) 787-0735
Other providers in Quincy, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.