Kim Angelina Ivy, RPH

NPI #1194042077 in Leander, Texas

Provider Information

NPI Number: 1194042077
Entity Type: Individual
Name: Kim Angelina Ivy, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Apr 30, 2010
Last Updated: Apr 30, 2010

Practice Location

Address: 651 N US HIGHWAY 183
City: Leander
State: Texas
ZIP Code: 78641-8990
Phone: (512) 528-7777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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