MR. Kim Dallas Capel I, R.PH.,M.S.

NPI #1972557759 in Anna, Illinois

Provider Information

NPI Number: 1972557759
Entity Type: Individual
Name: MR. Kim Dallas Capel I, R.PH.,M.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: R.PH.,M.S.
Enumeration Date: May 19, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 214 APPLE LN
City: Anna
State: Illinois
ZIP Code: 62906-1116
Phone: (618) 833-4017

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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