MEDICARE: HYUN SOOK KIM

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
1	183500000X	Pharmacist	27085	TN
2	183500000X	Pharmacist	PS48466	FL
3	183500000X	Pharmacist	0202209889	VA

General Provider Information

NPI Number	:	1043513310
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HYUN SOOK KIM

Provider Business Mailing Address
First Line	:	4450 PARK ST N
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33709-4020
Country	:	US
Telephone Number	:	727-541-3930
Fax Number	:

Provider Business Practice Location Address
First Line	:	4450 PARK ST N
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33709-4020
Country	:	US
Telephone Number	:	727-541-3930
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2010
Last Update Date	:	06/16/2026

Similar Medicare Providers

1356363998 — HOLIDAY CVS LLC
Practice Location Address:

4450 PARK ST N
SAINT PETERSBURG, FL
33709-4020

Practice Phone: 727-541-3930
Practice Fax: 727-828-6101

1235397944 — MRS. MELBA JEAN THOMPSON R.N.
Practice Location Address:

4020 PARK ST N , SUITE 103
SAINT PETERSBURG, FL
33709-4030

Practice Phone: 727-345-8614
Practice Fax: 727-345-9319

1629363288 — WENDY HIRST PHARM.D.
Practice Location Address:

4450 PARK ST N
ST PETERSBURG, FL
33709-4020

Practice Phone: 727-541-3930
Practice Fax:

1730475567 — MRS. AQUILINA GEORGE
Practice Location Address:

4450 PARK ST N , T-1023
SAINT PETERSBURG, FL
33709-4020

Practice Phone: 727-541-3930
Practice Fax: 727-541-3930

1386930899 — DERRICK LAMBERTON
Practice Location Address:

4450 PARK ST N
ST PETERSBURG, FL
33709-4020

Practice Phone: 727-541-3930
Practice Fax:

1841587433 — LIANNE SNYDER RPH
Practice Location Address:

4450 PARK ST N
SAINT PETERSBURG, FL
33709-4020

Practice Phone: 727-541-3930
Practice Fax: 727-541-3930

Directions to “ HYUN SOOK KIM ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.