Individual
CHAEWON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
467 BROADWAY, REVERE, MA 02151-3030
(781) 289-8656
Mailing address
1 LONGFELLOW PL APT 2118, BOSTON, MA 02114-2419
(857) 202-1280
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH241248
MA
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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