Individual
BEN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
906 E OLIVE ST, LAMAR, CO 81052-2966
(719) 336-0880
Mailing address
322 S MAIN ST APT 27, LAMAR, CO 81052-2865
(719) 244-6708
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0022661
CO
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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