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Individual

MAI THANH KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
3001 MATLOCK RD, MANSFIELD, TX 76063-3302
(817) 473-0081
Mailing address
3001 MATLOCK RD, MANSFIELD, TX 76063-3302
(817) 473-0081

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
47461
TX
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
47461
TX
1835P2201X
Ambulatory Care Pharmacist
6150671
TX

Other

Enumeration date
05/04/2020
Last updated
05/12/2020
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