Individual
HEESUN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D
Contact information
Practice address
119 DAGGETT DR, WEST SPRINGFIELD, MA 01089-4672
(413) 747-5518
Mailing address
119 DAGGETT DR, WEST SPRINGFIELD, MA 01089-4672
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0015126
CT
183500000X
Pharmacist
PH239427
MA
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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