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NPI Code Detail

MEDICARE: MR. WON JAMES KIM RPH

MEDICARE: MR. WON JAMES KIM RPH
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
1183500000XPharmacist28RI02622100NJ

General Provider Information

NPI Number : 1578773958
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WON JAMES KIM RPH
Provider Business Mailing Address
First Line : 35 BUSH RD
Second Line :
City : DENVILLE
State : NJ
Zip : 07834-2906
Country : US
Telephone Number : 973-588-3492
Fax Number :
Provider Business Practice Location Address
First Line : 69 NEW RD
Second Line :
City : PARSIPPANY
State : NJ
Zip : 07054-4206
Country : US
Telephone Number : 973-227-3937
Fax Number : 973-227-3917
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2007
Last Update Date : 01/17/2013

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