Individual
JESSICA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18 W MAPLE AVE, MERCHANTVILLE, NJ 08109-5104
(856) 662-0011
Mailing address
18 W MAPLE AVE, MERCHANTVILLE, NJ 08109-5104
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04147300
NJ
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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