Most Relevant Information
Provider Data
| NPI Number: | 1003537754 |
| Provider Name: | KASEY KIM RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 65479 |
Most Important Dates
| Enumeration Date: | 09/09/2022 |
| Last Updated: | 09/09/2022 |
Provider Practice Location
1425 E LINCOLN AVE STE B
ANAHEIM
CA
928052257
Practice Location Phone/Fax
| Phone: | 7147761020 |
| Fax: | 7147767053 |
Provider Mailing Location
1425 E LINCOLN AVE STE B
ANAHEIM
CA
928052257
Provider Mailing Phone/Fax
| Phone: | 7147761020 |
| Fax: | 7147767053 |