Kimberly Michelle Fairbank, CPHT Valid NPI

Individual provider · Pharmacy Technician · Coos Bay, OR

NPI

1669563003

Type

Individual (Type 1)

Primary specialty

Pharmacy Technician

Specialty group

Pharmacy Service Providers

Taxonomy code

183700000X

License number

CPT0000480 (OR)

Sex

Female

Sole proprietor

No

Enumerated

2006-09-28

Last updated

2007-07-08