Organization
KUNWOO L KIM
Active
Other names
Harvard Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KUNWOO L KIM (OWNER)
(323) 732-1911
Entity
Organization
Contact information
Practice address
3130 W OLYMPIC BLVD, SUITE 150, LOS ANGELES, CA 90006-2484
(323) 732-1911
(323) 732-6917
Mailing address
3130 W OLYMPIC BLVD, SUITE 150, LOS ANGELES, CA 90006-2484
(323) 732-1911
(323) 732-6917
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY50784
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-45268
NCPDP
CA
Enumeration date
02/16/2007
Last updated
11/03/2012
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