Individual
DR. COLLEEN YOON KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
609 ELM ST, WESTFIELD, NJ 07090-3100
(858) 736-1899
Mailing address
609 ELM ST, WESTFIELD, NJ 07090-3100
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
061310
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B12101292
BCPS
—
Enumeration date
02/18/2025
Last updated
02/20/2025
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