NPI 1053074450

Kyle Kim, PHARMD

Practitioner Pharmacist The Dalles, OR

Practice location

Address: 1700 E 19th St, The Dalles, OR 97058-3317
Phone: (541) 296-7526

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence RPH-0016436 (OR)

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Registry record

NPI: 1053074450
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Oct 2021
Record last updated: 21 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.