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Individual

HO MIKE KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
11100 S AUTO MALL DR, SANDY, UT 84070-4171
(801) 790-0002
Mailing address
11774 S TWIN PINES CT, DRAPER, UT 84020-4519
(801) 450-1370

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
153175-1701
UT

Other

Enumeration date
09/20/2017
Last updated
09/20/2017
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