Individual
JAY Y KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 LAFAYETTE RD, HAMPTON, NH 03842-3348
(603) 929-1258
Mailing address
875 ELM ST APT 503, MANCHESTER, NH 03101-2124
(214) 537-9121
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4180
NH
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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