Individual
DANIEL KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4325 ATLANTA HWY, LOGANVILLE, GA 30052-2341
(770) 466-5150
Mailing address
4231 TOWNCASTLE LN, BUFORD, GA 30518-5167
(678) 308-7311
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH032157
GA
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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