Provider Demographics
NPI:1790071868
Name:COLE, ANNA KATHLEEN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:KATHLEEN
Last Name:COLE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:DR
Other - First Name:ANNA
Other - Middle Name:KATHLEEN
Other - Last Name:PECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARM D
Mailing Address - Street 1:990 B EAST WASHINGTON STREET
Mailing Address - Street 2:
Mailing Address - City:SEQUIM
Mailing Address - State:WA
Mailing Address - Zip Code:98382-3517
Mailing Address - Country:US
Mailing Address - Phone:360-683-1156
Mailing Address - Fax:360-683-8532
Practice Address - Street 1:990 B EAST WASHINGTON STREET
Practice Address - Street 2:
Practice Address - City:SEQUIM
Practice Address - State:WA
Practice Address - Zip Code:98382-3517
Practice Address - Country:US
Practice Address - Phone:360-683-1156
Practice Address - Fax:360-683-8532
Is Sole Proprietor?:No
Enumeration Date:2011-06-27
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA21428183500000X
WAPH60287571183500000X
ORRPH-0013175183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist