Individual
DR. CHAN WOO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4934
(718) 654-7690
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4934
(718) 654-7690
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
055971
NY
Other
Enumeration date
08/19/2011
Last updated
10/12/2022
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