Individual
JOO YOUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1802 ROANOKE RD, LAGRANGE, GA 30240-3822
(512) 809-5012
Mailing address
1802 ROANOKE RD, LAGRANGE, GA 30240-3822
(706) 882-5564
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH028934
GA
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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