Individual
CHANWOOK KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3321 AVALON GATES, TRUMBULL, CT 06611-5809
(516) 384-1142
Mailing address
3321 AVALON GATES, TRUMBULL, CT 06611-5809
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
054690
NY
Other
Enumeration date
10/06/2010
Last updated
10/06/2010
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