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Individual

JEONGMIN KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1200 HARRISON AVE, CENTRALIA, WA 98531-1853
(360) 807-2014
Mailing address
3900 CAPITAL MALL DR SW, PHARMACY, OLYMPIA, WA 98502-8654

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60478109
WA

Other

Enumeration date
08/18/2014
Last updated
07/25/2016
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