Individual
DR. HANSIK KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D BCPS BCCCP
Contact information
Practice address
55 PARK ST, NEW HAVEN, CT 06511-5474
(203) 688-4242
Mailing address
92 BOSTON POST RD, WATERFORD, CT 06385-2421
(860) 518-5294
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PCT.0013126
CT
1835C0205X
Critical Care Pharmacist
Primary
PCT.0013126
CT
1835P1200X
Pharmacotherapy Pharmacist
PCT.0013126
CT
Other
Enumeration date
03/19/2019
Last updated
05/30/2019
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