Individual
KIMBERLY SHIN MICHIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3842 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4427
(253) 565-6215
Mailing address
1470 MARVIN RD NE, LACEY, WA 98516-3870
(360) 412-3488
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH3142
HI
183500000X
Pharmacist
Primary
PH60165839
WA
Other
Enumeration date
03/27/2012
Last updated
04/07/2022
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