Individual
HEESUE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
400 N RUBY ST, PHARMACY, ELLENSBURG, WA 98926-3152
(509) 962-5096
Mailing address
400 N RUBY ST, PHARMACY, ELLENSBURG, WA 98926-3152
(509) 962-5096
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60622662
WA
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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