NPI | 1881079135 |
---|---|
Former Name | HYONG SOOK KIM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: NY I068575) |
Additional Taxonomies | 183500000X Pharmacist (Licence: SC 35862) |
183500000X Pharmacist (Licence: GA RPH028311) | |
183500000X Pharmacist (Licence: NJ NJDCATEMP-010358) | |
Enumeration Date | 2015-07-28 |
Last Update Date | 2024-05-13 |