| NPI | 1417944695 |
|---|---|
| Doing Business As | DBA KIM PHARMACY |
| Entity Type | Organization |
| Authorized Contact | STACY LAM President 626-288-4165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA PHY49967) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA PHY36554) |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2009-08-25 |