Most Relevant Information
Provider Data
| NPI Number: | 1003306077 |
| Provider Name: | SO JUNG KIM |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PH61461853 |
Most Important Dates
| Enumeration Date: | 05/15/2018 |
| Last Updated: | 10/15/2023 |
Provider Practice Location
9010 MARKET PL
LAKE STEVENS
WA
982584908
Practice Location Phone/Fax
| Phone: | 4253344028 |
| Fax: |
Provider Mailing Location
10711 8TH AVE NE UNIT 519
SEATTLE
WA
981256370
Provider Mailing Phone/Fax
| Phone: | 4159873624 |
| Fax: |