Individual
ANGELA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2825 E BARNETT RD, MEDFORD, OR 97504-8332
(541) 789-7000
Mailing address
1800 E OLIVE WAY, SEATTLE, WA 98102-5620
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0018061
OR
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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