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General NPI Number Information
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NPI Number | 1366231482
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Entity Type | Organization
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Legal Business Name | KIM PHARMACY LLC
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 3375 MILWAUKEE AVE UNIT GH
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City | NORTHBROOK
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State | IL
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Zip | 60062-7104
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Country | US
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Telephone | 224-649-8500
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Fax | 224-242-8093
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Provider Business Mailing Address
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Address Line | 10570 WING POINTE DR
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City | HUNTLEY
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State | IL
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Zip | 60142-6603
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Country | US
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Telephone | 224-649-8500
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Fax | 224-242-8093
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Authorized Official
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Title or Position | OWNER/PIC
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Name | NICHOLAS KIM
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Credential | PHARMD
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Telephone | 224-649-8500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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