Individual provider · Type 1 NPI

Kim Ngoc Etheart, PharmD

Pharmacist · Rohnert Park, CA

NPI number 1265939102 Active

Practice location

4625 Redwood Dr
Rohnert Park, CA 94928-7941

Fax (707) 586-3624

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	53875 (CA)

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…

7 other providers at this address

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About NPI 1265939102

Kim Ngoc Etheart, PharmD's National Provider Identifier is 1265939102, issued on Apr 8, 2018. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Rohnert Park, CA. The record was last updated on Apr 8, 2018.