Individual
EWHA BRIDGET KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
19761
NC
1835X0200X
Oncology Pharmacist
Primary
27776
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19761
BOARD OF PHARMACY
NC
01
—
27776
BOARD OF PHARMACY
MA
Enumeration date
10/17/2016
Last updated
10/17/2016
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