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Individual

JOHN JONG KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
10095 WARD RD, DUNKIRK, MD 20754-2731
(410) 257-0191
Mailing address
10095 WARD RD, DUNKIRK, MD 20754-2731

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25370
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
11378339250
MD
Enumeration date
09/25/2018
Last updated
09/25/2018
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