Individual
BO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6401 OXFORD AVE, PHILADELPHIA, PA 19111-5400
(215) 745-2557
Mailing address
6401 OXFORD AVE, PHILADELPHIA, PA 19111-5400
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP445766
PA
Other
Enumeration date
07/23/2011
Last updated
07/23/2011
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