Individual
DIANE H KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(267) 624-4652
Mailing address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(267) 624-4652
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP451712
PA
Other
Enumeration date
09/10/2017
Last updated
10/21/2024
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