Individual
KWONG LUN YIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 E BASELINE RD, PHOENIX, AZ 85042-6947
(602) 305-4421
(602) 305-4423
Mailing address
15801 S 48TH ST APT 1106, PHOENIX, AZ 85048-0835
(909) 516-3113
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
I025585
AZ
183500000X
Pharmacist
Primary
S011432
AZ
Other
Enumeration date
06/16/2022
Last updated
04/06/2023
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