Individual
LISA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6733 CLAYTON RD, RICHMOND HEIGHTS, MO 63117-1603
(312) 363-8932
Mailing address
12445 GLENMEADE CT APT J, MARYLAND HEIGHTS, MO 63043-3688
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2014026334
MO
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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