Montha Michelle Kim
Pharmacist in Vancouver, WA. Individual provider (NPI-1).
NPI number1679079552
StatusActive
Last updated in NPPESJul 2, 2018
Details
- NPI
- 1679079552
- Entity type
- Individual (NPI-1)
- Name
- Montha Michelle Kim
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 1, 2018
- Last updated
- Jul 2, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | Ph00049823 | WA | Yes |
| 1835P0018X | Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | PH00049823 | WA |
Practice location
7101 Ne 137th AveVancouver, WA 98682
Phone 360-944-4990
Mailing address
7101 Ne 137th AveVancouver, WA 98682-4933
Phone 360-944-4980
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