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NPI Code Detail

MEDICARE: HEEBEEN KIM PHARMD

MEDICARE: HEEBEEN KIM PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPH61064576WA

General Provider Information

NPI Number : 1902414956
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEEBEEN KIM PHARMD
Provider Business Mailing Address
First Line : 701 PIKE ST STE 1900
Second Line :
City : SEATTLE
State : WA
Zip : 98101-3932
Country : US
Telephone Number : 206-689-8200
Fax Number : 206-624-0969
Provider Business Practice Location Address
First Line : 701 PIKE ST STE 1900
Second Line :
City : SEATTLE
State : WA
Zip : 98101-3932
Country : US
Telephone Number : 206-689-8200
Fax Number : 206-624-0969
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2020
Last Update Date : 05/02/2023

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Directions to “ HEEBEEN KIM PHARMD” Practice Location

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