NPI 1063930857

Kim Pham, PHARMD

Practitioner Pharmacist Blue Springs, MO

Practice location

Address: 1701 NW State Route 7, Blue Springs, MO 64014-1913
Phone: (816) 220-3620
Mailing address: 1591 SW Manor Lake Dr, Lees Summit, MO 64082-4186

Registered specialties (3)

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 16291 (OK)

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Pharmacy Service Providers Taxonomy 183500000X Licence 1-111537 (KS)

Registry record

NPI: 1063930857
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Sep 2017
Record last updated: 20 Feb 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.