Russell, Kim

Russell, Kim is an sole proprietor health care provider with primary practice located at 18785 Brookhurst St Ste 201 , Fountain Valley CA 92708-7300. She recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as her primary health care specialty. Russell, Kim can be contacted via phone (714) 916-0881.

Contact Information

Primary practice address
18785 Brookhurst St Ste 201 Fountain Valley CA 92708-7300
Phone: (714) 916-0881
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 74335 California

Profile Details

NPI number 1932617305
LBN Legal business name Russell, Kim
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2018
Last updated Apr 21st, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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