Individual
JIN TAE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
800 LAKEWAY DR, BELLINGHAM, WA 98229-6219
(360) 738-4243
(360) 738-8033
Mailing address
800 LAKEWAY DR, BELLINGHAM, WA 98229-6219
(360) 738-4243
(360) 738-8033
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00042870
WA
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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