Individual
TAE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7100 ARROYO CROSSING PKWY, LAS VEGAS, NV 89113-4057
(702) 260-6264
Mailing address
7100 ARROYO CROSSING PKWY, LAS VEGAS, NV 89113-4057
(702) 260-6264
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18031
NV
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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