Individual provider · Type 1 NPI

Chang PA Kim

Pharmacist · Hesperia, CA

NPI number 1891070470 Active

Practice location

17051 Bear Valley Rd
Hesperia, CA 92345-1845

Mailing address

4380 Sandy River Dr Unit 38
Las Vegas, NV 89103-6194

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X46530 (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…

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About NPI 1891070470

Chang PA Kim's National Provider Identifier is 1891070470, issued on Oct 14, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Hesperia, CA. The record was last updated on Oct 14, 2011.