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Soo-In Kim

Pharmacist in Brown Deer, WI. Individual provider (NPI-1).

NPI number1003440652
StatusActive
Last updated in NPPESFeb 22, 2020

Details

NPI
1003440652
Entity type
Individual (NPI-1)
Name
Soo-In Kim
Sex
Female
Sole proprietor
No
Enumeration date
Feb 22, 2020
Certification date
Feb 22, 2020
Last updated
Feb 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist17247-40WIYes

Practice location

6020 W Brown Deer Rd
Brown Deer, WI 53223-2227

Phone 414-365-3608

Mailing address

6020 W Brown Deer Rd
Brown Deer, WI 53223-2227

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