Individual
JI MYUNG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
450 BROAD AVE, PALISADES PARK, NJ 07650-1631
(201) 947-8877
Mailing address
230 A 3RD STREET, BASEMENT, PALISADES PARK, NJ 07650
(857) 409-1374
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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