Organization
GENE KIM
Active
Other names
SAN JACINTO PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GENE KIM PHARMD (CHIEF PHARMACIST)
(951) 654-9393
Entity
Organization
Contact information
Practice address
100 E MAIN ST, SAN JACINTO, CA 92583-4228
(951) 654-9393
Mailing address
100 E MAIN ST, SAN JACINTO, CA 92583-4228
(951) 654-9393
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY46375
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1997444
PK
—
05
—
PHA463750
—
CA
Enumeration date
08/31/2006
Last updated
03/27/2026
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