Individual
CHUNG W KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
448 S KING ST, LEESBURG, VA 20175-3619
(703) 777-3111
Mailing address
19195 BURNT BRIDGE DR, LEESBURG, VA 20176-1267
(571) 223-1086
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202205259
VA
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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