Individual
LOIS DAHEUN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7227 S STATE ST, MIDVALE, UT 84047-2061
(801) 307-0494
Mailing address
7227 S STATE ST, MIDVALE, UT 84047-2061
(801) 307-0494
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14098411-1701
UT
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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