Individual
MRS. KRISTIN MARIE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
5147 BURNSIDE DR, JAMESVILLE, NY 13078
(315) 882-2065
Mailing address
5147 BURNSIDE DR, JAMESVILLE, NY 13078
(315) 882-2065
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
043497
NY
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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