Individual
ALICE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1199 AMBOY AVE, EDISON, NJ 08837-2552
(732) 494-0677
Mailing address
704 SOMERSET AVE, BRIDGEWATER, NJ 08807-3757
(480) 243-3648
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03750500
NJ
183500000X
Pharmacist
28RJ06577
NJ
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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