Individual
AMI KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 E 3RD ST, ALLIANCE, NE 69301-3832
(308) 762-1258
Mailing address
500 E 3RD ST, ALLIANCE, NE 69301-3832
(308) 762-1258
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14655
NE
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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