Individual
ELLEN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3300 CENTENNIAL LN, ELLICOTT CITY, MD 21042-3600
(410) 750-9439
Mailing address
3300 A CENTENNIAL LANE, ELLICOTT CITY, MD 21042
(410) 750-9439
(410) 750-8879
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13884
MD
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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