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NPI Code Detail

MEDICARE: DR. YIJI M KIM PHARMD

MEDICARE: DR. YIJI M 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
1183500000XPharmacistRPH023230GA

General Provider Information

NPI Number : 1013206242
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YIJI M KIM PHARMD
Provider Business Mailing Address
First Line : 2020 HOWELL MILL RD NW
Second Line :
City : ATLANTA
State : GA
Zip : 30318-1732
Country : US
Telephone Number : 404-351-4448
Fax Number : 404-361-8445
Provider Business Practice Location Address
First Line : 2020 HOWELL MILL RD NW
Second Line :
City : ATLANTA
State : GA
Zip : 30318-1732
Country : US
Telephone Number : 404-351-4448
Fax Number : 404-361-8445
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2011
Last Update Date : 03/28/2011

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