Individual
KIMBERLY MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5300 TALLMAN AVE NW RM SW272, SEATTLE, WA 98107-3932
(206) 781-6004
(206) 781-6232
Mailing address
5300 TALLMAN AVE NW RM SW272, SEATTLE, WA 98107-3932
(206) 781-6004
(206) 781-6232
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60168015
WA
Other
Enumeration date
03/01/2011
Last updated
09/21/2016
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