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Individual

SU HYUN KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1725 PINE ST, MONTGOMERY, AL 36106-1117
(334) 293-8000
Mailing address
2139 AUTUMN RIDGE WAY, AUBURN, AL 36879-4639
(240) 723-6341

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21361
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1990908194
ALIEN NUMBER
Enumeration date
04/14/2021
Last updated
04/14/2021
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