Individual
JAEYEON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1221 MERCANTILE LN, LARGO, MD 20774-5374
(301) 618-5500
Mailing address
1221 MERCANTILE LN, LARGO, MD 20774-5374
(301) 618-5500
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26157
MD
Other
Enumeration date
03/06/2020
Last updated
05/31/2023
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