Individual
KIM YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5865 PROMENADE SHOPS BLVD, NOBLESVILLE, IN 46062-5600
(317) 776-1175
Mailing address
5865 PROMENADE SHOPS BLVD, NOBLESVILLE, IN 46062-5600
(317) 776-1175
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26019414A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0420196600
EXPRESS SCIPT
IN
01
—
0420196600
CAREMARK
—
05
—
0420196600
—
IN
Enumeration date
07/20/2019
Last updated
07/20/2019
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