Hunter Bud Weitze, RPH
Individual provider Active NPI Pharmacist · Colfax, WA
NPI 1710607239 · NPPES record last updated Sep 2, 2022
Key facts
- NPI
- 1710607239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH61307179 (WA)
- Practice address
- 109 S Main St
Colfax, WA 99111-1803 - Phone
- (509) 397-2111
- NPI assigned
- Sep 2, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH61307179 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tick Klock Drug LLC | Current |
Accepting new patients |
Locations
109 S Main St
Colfax, WA 99111
Phone (509) 397-2111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH61307179 | WA | Yes |
Addresses
Primary practice location
109 S Main St
Colfax, WA 99111-1803
Mailing address
202 N Mill St Apt 8
Colfax, WA 99111-1856
Phone (509) 288-1595
Other providers in Colfax, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2022. 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.