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NPI Code Detail

MEDICARE: DAVID KIM PHARM.D.

MEDICARE: DAVID KIM PHARM.D.
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
1183500000XPharmacist18808NV

General Provider Information

NPI Number : 1922470343
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID KIM PHARM.D.
Provider Business Mailing Address
First Line : 9640 GAVIN STONE AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89145-8627
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6650 E LAKE MEAD BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89156-7033
Country : US
Telephone Number : 702-438-2744
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2015
Last Update Date : 10/25/2015

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Directions to “ DAVID KIM PHARM.D.” Practice Location

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