Individual provider · Type 1 NPI

So Jung Kim

Pharmacist · Lake Stevens, WA

NPI number 1003306077 Active

Practice location

9010 Market Pl
Lake Stevens, WA 98258-4908

Call (425) 334-4028 Map

Mailing address

10711 8th Ave NE Unit 519
Seattle, WA 98125-6370

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPH61461853 (WA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1003306077

So Jung Kim's National Provider Identifier is 1003306077, issued on May 15, 2018. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Lake Stevens, WA. The record was last updated on Oct 15, 2023.