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Individual
MI RAN KIM
Active
Individual
MI RAN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18750
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18750
STATE BOARD OF PHARMACY LICENSE NUMBER
CO
Enumeration date
11/15/2010
Last updated
06/14/2024
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