Individual
HYESUNG YIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
745 N US HIGHWAY 287, LAFAYETTE, CO 80026-8955
(303) 666-0434
Mailing address
745 N US HIGHWAY 287, LAFAYETTE, CO 80026-8955
(303) 666-0434
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16353
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
764891234522
—
CO
Enumeration date
04/11/2019
Last updated
12/08/2020
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