Individual
DR. RICHARD ALLEN KIMBALL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2401 EAST NORTH STREET, GREENVILLE, SC 29615
(864) 244-1841
Mailing address
2401 EAST NORTH STREET, GREENVILLE, SC 29615
(864) 244-1841
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13148
SC
183500000X
Pharmacist
19962
NC
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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