Individual
ARLENE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4308 212TH ST, BAYSIDE, NY 11361-2851
(718) 631-8200
Mailing address
43-08 B 212ST, BAYSIDE, NY 11361
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
059071
NY
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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