Organization
KIM DO INC
Active
Other names
M R Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NGAN KIM DO RPH (PRESIDENT)
(215) 634-3939
Entity
Organization
Contact information
Practice address
2510 N FRONT ST, PHILADELPHIA, PA 19133
(215) 634-3939
Mailing address
2510 N FRONT ST, PHILADELPHIA, PA 19133
(215) 634-3939
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011568570003
—
PA
Enumeration date
02/22/2007
Last updated
08/30/2011
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