Individual
MINA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 LEXINGTON ST, WALTHAM, MA 02452-4848
(781) 893-2070
Mailing address
52 MALLARD ST, BILLERICA, MA 01821-4228
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH238386
MA
Other
Enumeration date
12/13/2020
Last updated
12/13/2020
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