Individual
MS. KIMBERLY KAYE MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1275 HIGHLAND AVE, CLARKSTON, WA 99403-2846
(509) 758-5533
(509) 751-9545
Mailing address
1941 SARGENT DR, CLARKSTON, WA 99403-1244
(509) 552-9338
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00021095
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4902981
NABP NUMBER
WA
05
—
6173801
—
WA
Enumeration date
12/13/2006
Last updated
02/18/2010
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