Individual
ELLEN HYERIM KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
104 TOWN BLVD NE STE A100, BROOKHAVEN, GA 30319-3146
(770) 952-6601
Mailing address
104 TOWN BLVD NE STE A100, BROOKHAVEN, GA 30319-3146
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
029641
GA
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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