Individual provider · Type 1 NPI

Kyle Shane Hogaboam, PHARM D

Pharmacist · Othello, WA

NPI number 1043552839 Active

Practice location

140 E Main St
Othello, WA 99344-1040

Call (509) 994-2142 Map

Mailing address

140 East Main
Othello, WA 99344

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPH00040386 (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 1043552839

Kyle Shane Hogaboam, PHARM D's National Provider Identifier is 1043552839, issued on Mar 20, 2013. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Othello, WA. The record was last updated on Mar 20, 2013.