Most Relevant Information
Provider Data
NPI Number: | 1003226945 |
Provider Name: | KIMBERLY VAN WYK PHARMD |
Entity Type: | Individual |
Taxonomy Code: | 183500000X |
Specialty: | Pharmacist |
License Number: | P6258 |
Most Important Dates
Enumeration Date: | 04/30/2014 |
Last Updated: | 04/30/2014 |
Provider Practice Location
3687 VETERANS DR
FORT HARRISON
MT
596369703
Practice Location Phone/Fax
Phone: | 4064477307 |
Fax: |
Provider Mailing Location
1050 MENDOCINO DR
HELENA
MT
596018626
Provider Mailing Phone/Fax
Phone: | 4064754074 |
Fax: |