Individual
AESUK JESSICA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
5581 MERCHANTS VIEW SQ, HAYMARKET, VA 20169-5439
(571) 248-4551
Mailing address
5581 MERCHANTS VIEW SQ, HAYMARKET, VA 20169-5439
(571) 248-4551
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202206728
VA
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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