Individual
LUISA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2779 E VIRGO PL, CHANDLER, AZ 85249-5242
(480) 767-7809
Mailing address
2779 E VIRGO PL, CHANDLER, AZ 85249-5242
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S013444
AZ
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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