Individual
DAE OK KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6305 BRIDGEPORT WAY W, FRED MEYER #615, UNIVERSITY PLACE, WA 98467-5117
(253) 460-4033
(253) 460-4027
Mailing address
6305 BRIDGEPORT WAY W, FRED MEYER #615, UNIVERSITY PLACE, WA 98467-5117
(253) 460-4033
(253) 460-4027
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00049121
WA
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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