KYLE SHANE HOGABOAM

OTHELLO, WA
NPI1043552839
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: WA  Ph00040386)
Enumeration Date2013-03-20
Last Update Date2013-03-20
Business Address
Dr. KYLE SHANE HOGABOAM Pharm D
140 E MAIN ST
OTHELLO, WA 99344-1040
Phone number: 509-994-2142
Mailing Address
Dr. KYLE SHANE HOGABOAM Pharm D
140 EAST MAIN
OTHELLO, WA 99344
Phone number: 509-994-2142