Individual
JOANNE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 GALVIN RD S, BELLEVUE, NE 68005-3810
(202) 292-2685
Mailing address
PO BOX 6469, OMAHA, NE 68106-0469
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14972
NE
Other
Enumeration date
03/17/2020
Last updated
03/17/2020
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