Individual
ELLEN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
164 W CHELTEN AVE, PHILADELPHIA, PA 19144-3302
(215) 438-5167
Mailing address
164 W CHELTEN AVE, PHILADELPHIA, PA 19144-3302
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
28R103532100
NJ
183500000X
Pharmacist
Primary
RP447599
PA
Other
Enumeration date
06/25/2013
Last updated
06/25/2013
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