Provider Demographics
NPI:1033883707
Name:HSI, SWEE KIM (RPH)
Entity Type:Individual
Prefix:MRS
First Name:SWEE
Middle Name:KIM
Last Name:HSI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1183 E FOOTHILL BLVD
Mailing Address - Street 2:KAISER OUTPATIENT PHARMACY SUITE 134
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786
Mailing Address - Country:US
Mailing Address - Phone:909-367-7080
Mailing Address - Fax:909-367-7077
Practice Address - Street 1:1183 E FOOTHILL BLVD
Practice Address - Street 2:KAISER OUTPATIENT PHARMACY SUITE 134
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786
Practice Address - Country:US
Practice Address - Phone:909-367-7080
Practice Address - Fax:909-367-7077
Is Sole Proprietor?:No
Enumeration Date:2021-08-05
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH42773183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist