MEDICARE: KAYLA CORBIN PHARMACIST

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
1	183500000X	Pharmacist	PH00017691	WA

General Provider Information

NPI Number	:	1437475332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLA CORBIN PHARMACIST

Provider Business Mailing Address
First Line	:	567 N GRANT ST
Second Line	:
City	:	KENNEWICK
State	:	WA
Zip	:	99336-7694
Country	:	US
Telephone Number	:	509-551-9340
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 N ELY ST
Second Line	:
City	:	KENNEWICK
State	:	WA
Zip	:	99336-2941
Country	:	US
Telephone Number	:	509-783-1438
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2010
Last Update Date	:	08/26/2025

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