Individual
MIN JU KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
601 W NORTH ST, ENTERPRISE, OR 97828-1427
(541) 426-3535
(541) 426-9107
Mailing address
601 W NORTH ST, ENTERPRISE, OR 97828-1427
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PI-0011780
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH-0017000
OR
Other
Enumeration date
09/12/2018
Last updated
03/25/2019
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