Individual
IRIS KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7901 BASS LAKE RD, NEW HOPE, MN 55428-3105
(763) 257-0130
Mailing address
8400 BASS LAKE RD APT 330, NEW HOPE, MN 55428-5347
(516) 672-0235
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123793
MN
Other
Enumeration date
04/19/2020
Last updated
04/19/2020
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