Organization
KIMTRE CORP.
Active
Other names
Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES C KIM RPH. (PRESIDENT/OWNER)
(201) 947-5550
Entity
Organization
Contact information
Practice address
251 MAIN ST, FORT LEE, NJ 07024-5709
(201) 947-5550
(201) 947-0514
Mailing address
251 MAIN ST, FORT LEE, NJ 07024-5709
(201) 947-5550
(201) 947-0514
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00418400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4399005
—
NJ
05
—
4399013
—
NJ
Enumeration date
09/28/2017
Last updated
07/21/2022
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