GRACE KIM

LEAVENWORTH, KS
NPI1427653393
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: KS  1-107758)
Additional Taxonomies183500000X Pharmacist
(Licence: MA  PH238275)
183500000X Pharmacist
(Licence: MO  2019005021)
Enumeration Date2020-11-30
Last Update Date2020-12-03
Business Address
GRACE KIM PharmD
390 LIMIT ST
LEAVENWORTH, KS 66048-4525
Phone number: 913-651-2323
Mailing Address
GRACE KIM PharmD
390 LIMIT ST
LEAVENWORTH, KS 66048-4525
Phone number: 913-651-2323