Individual
JIMIN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1533 SOUTH BLVD, CHARLOTTE, NC 28203-4723
(704) 342-4558
Mailing address
1533 SOUTH BLVD, CHARLOTTE, NC 28203-4723
(704) 342-4558
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
11401
SC
183500000X
Pharmacist
Primary
18475
NC
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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