Individual
JAEKWAN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4000 W DIMOND BLVD, ANCHORAGE, AK 99502-1475
(907) 339-1200
Mailing address
1000 W 8TH AVE APT 204, ANCHORAGE, AK 99501-3319
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
240990
AK
Other
Enumeration date
10/04/2025
Last updated
10/04/2025
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