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NPI Code Detail

MEDICARE: HYUN A KIM PHARMD

MEDICARE: HYUN A KIM PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist28RI03888800NJ

General Provider Information

NPI Number : 1164939542
Entity Type Code : Individual
Provider Name (Legal Business Name) : HYUN A KIM PHARMD
Provider Business Mailing Address
First Line : 14459 27TH AVE FL 1
Second Line :
City : FLUSHING
State : NY
Zip : 11354-1319
Country : US
Telephone Number : 646-919-7119
Fax Number :
Provider Business Practice Location Address
First Line : 205 SUMMER AVE
Second Line :
City : NEWARK
State : NJ
Zip : 07104-2628
Country : US
Telephone Number : 973-481-3388
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2018
Last Update Date : 01/06/2018

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Directions to “ HYUN A KIM PHARMD” Practice Location

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