Individual
ALYSSA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
711 VETERANS MEMORIAL PKWY STE 102, SAINT CHARLES, MO 63303-2106
(636) 669-2200
Mailing address
1685 DANTE DR, SAINT LOUIS, MO 63146-3801
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2021051189
MO
Other
Enumeration date
05/10/2023
Last updated
01/28/2026
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