Individual
GRACE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
390 LIMIT ST, LEAVENWORTH, KS 66048-4525
(913) 651-2323
(913) 680-1294
Mailing address
390 LIMIT ST, LEAVENWORTH, KS 66048-4525
(913) 651-2323
(913) 680-1294
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-107758
KS
183500000X
Pharmacist
2019005021
MO
183500000X
Pharmacist
PH238275
MA
Other
Enumeration date
11/30/2020
Last updated
12/03/2020
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