Individual
JI YOUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 WEST HOSPITAL DRIVE, WHITERIVER, AZ 85941
(928) 338-4911
Mailing address
PO BOX 1294, WHITERIVER, AZ 85941-1294
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60593942
WA
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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