Individual
MRS. CHIYON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
136 LAKE AVE, MIDLAND PARK, NJ 07432-1945
(201) 612-3070
(201) 612-3073
Mailing address
136 LAKE AVE, MIDLAND PARK, NJ 07432-1945
(201) 612-3070
(201) 612-3073
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02455200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7454805
—
NJ
Enumeration date
02/09/2008
Last updated
02/09/2008
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