Individual
KIMBERLY ANN KALLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
9600 VETERANS DR SW, TACOMA, WA 98493-0003
(253) 583-2346
Mailing address
18224 1ST STREET CT E, LAKE TAPPS, WA 98391-9430
(253) 862-7829
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10748
WA
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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