Individual
MR. JASON J KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
125 16TH AVE E, SEATTLE, WA 98112-5211
(206) 326-2757
Mailing address
7017 156TH ST SE, SNOHOMISH, WA 98296-8629
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00016397
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH00016397
PHARMACIST NUMBER
WA
Enumeration date
01/30/2006
Last updated
07/11/2007
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