Individual
CHANJU SHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21000 SOUTHBANK ST, STERLING, VA 20165-7242
(703) 430-0400
Mailing address
21000 SOUTHBANK ST, STERLING, VA 20165-7242
(703) 430-0400
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1821021171
VA
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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