MEDICARE: DR. HELENA 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
1	183500000X	Pharmacist	16473	MD

General Provider Information

NPI Number	:	1730365487
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HELENA KIM PHARM.D.

Provider Business Mailing Address
First Line	:	4512 S DAKOTA AVE NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20017-2752
Country	:	US
Telephone Number	:	410-636-9500
Fax Number	:	410-636-9706

Provider Business Practice Location Address
First Line	:	803 BARKWOOD CT STE A
Second Line	:
City	:	LINTHICUM
State	:	MD
Zip	:	21090-1426
Country	:	US
Telephone Number	:	410-636-9500
Fax Number	:	410-636-9706

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

Provider Enumeration Date	:	01/11/2008
Last Update Date	:	01/11/2008

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Directions to “ DR. HELENA KIM PHARM.D.” Practice Location

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