Individual
YONG JAE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 824-4678
Mailing address
360 STATE ST APT 2711, NEW HAVEN, CT 06510-3627
(626) 802-8228
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0015183
CT
Other
Enumeration date
11/21/2020
Last updated
11/21/2020
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