Heo Jung Kim, Pharm.D
Pharmacist in Grand Coulee, WA. Individual provider (NPI-1).
NPI number1982159547
StatusActive
Last updated in NPPESAug 23, 2016
Details
- NPI
- 1982159547
- Entity type
- Individual (NPI-1)
- Name
- Heo Jung Kim
- Credential
- Pharm.D
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 23, 2016
- Last updated
- Aug 23, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PH60667548 | WA | Yes |
Practice location
101 Grand Coulee HwyGrand Coulee, WA 99133-5014
Phone 509-633-0463
Mailing address
1201 River Dr Apt 23Coulee Dam, WA 99116-1150
Phone 503-515-2374
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