Individual
JUDITH KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2633 BRANDERMILL BLVD, GAMBRILLS, MD 21054-1645
(410) 451-9448
Mailing address
7775 CHATFIELD LN, ELLICOTT CITY, MD 21043-7916
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25090
MD
Other
Enumeration date
08/11/2017
Last updated
08/11/2017
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