Individual
ANNIE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1625 LEMOINE AVE, #1, FORT LEE, NJ 07024-5651
(201) 461-4646
Mailing address
704 SOMERSET AVE, BRIDGEWATER, NJ 08807-3757
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03751900
NJ
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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