Individual
BOMJOON KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7520 W BLUEMOUND RD, WAUWATOSA, WI 53213-3546
(414) 771-9146
Mailing address
7520 W BLUEMOUND RD, WAUWATOSA, WI 53213-3546
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18157-40
WI
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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