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NPI Code Detail

MEDICARE: SOO HYANG LIM

MEDICARE: SOO HYANG LIM
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
1183500000XPharmacistPH61180650WA

General Provider Information

NPI Number : 1205506979
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOO HYANG LIM
Provider Business Mailing Address
First Line : 221 LOOKOUT POINT DR
Second Line :
City : SELAH
State : WA
Zip : 98942-9669
Country : US
Telephone Number : 503-970-0678
Fax Number :
Provider Business Practice Location Address
First Line : 25250 PACIFIC HWY S
Second Line :
City : KENT
State : WA
Zip : 98032-6539
Country : US
Telephone Number : 253-946-7433
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2021
Last Update Date : 05/20/2026

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Directions to “ SOO HYANG LIM ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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