Individual
DANIEL LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
13460 N 67TH AVE, GLENDALE, AZ 85304-1000
(623) 878-8800
Mailing address
13460 N 67TH AVE, GLENDALE, AZ 85304-1000
(623) 878-8800
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051289623
IL
183500000X
Pharmacist
S014617
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051289623
ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
01
—
S014617
ARIZONA STATE BOARD OF PHARMACY
AZ
Enumeration date
06/01/2009
Last updated
02/14/2022
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