Individual
KIMBERLY HANNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
19191 N KELSEY ST, MONROE, WA 98272-1459
(360) 365-4036
Mailing address
19191 N KELSEY ST, MONROE, WA 98272-1459
(360) 365-4036
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
14731
NE
183500000X
Pharmacist
Primary
61349063
WA
Other
Enumeration date
11/26/2014
Last updated
03/04/2023
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