Individual
MR. JOHN WALLACE KILBOURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3138 VIRGINIA WAY, LONGVIEW, WA 98632-5419
(360) 577-4547
(360) 575-6608
Mailing address
1227 15TH AVE, LONGVIEW, WA 98632-3022
(360) 575-6605
(360) 575-6608
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00009007
WA
Other
Enumeration date
05/31/2008
Last updated
05/31/2008
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