Individual
KIMBERLY KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
320 PARK AVE, WORCESTER, MA 01610-1021
(508) 767-1732
(508) 767-0694
Mailing address
320 PARK AVE, WORCESTER, MA 01610-1021
(508) 767-1732
(508) 767-0694
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH25520
MA
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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