Individual
RICHARD A KIME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
2204 UNIVERSITY AVE, GREEN BAY, WI 54302-4511
(920) 469-5516
Mailing address
2204 UNIVERSITY AVE, GREEN BAY, WI 54302-4511
(920) 469-5516
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10186-40
WI
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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