Individual
AUSTIN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12345 SAINT CHARLES ROCK RD, BRIDGETON, MO 63044-2505
(314) 770-2479
Mailing address
12345 SAINT CHARLES ROCK RD, BRIDGETON, MO 63044-2505
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2014027812
MO
Other
Enumeration date
02/23/2015
Last updated
02/23/2015
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