Dr. Gloria Jisun Kim, PharmD
Pharmacist in Vienna, VA. Individual provider (NPI-1).
NPI number1003672601
StatusActive
Last updated in NPPESFeb 22, 2024
Details
- NPI
- 1003672601
- Entity type
- Individual (NPI-1)
- Name
- Dr. Gloria Jisun Kim
- Credential
- PharmD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 22, 2024
- Certification date
- Feb 22, 2024
- Last updated
- Feb 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 0202213754 | VA | Yes |
Practice location
1510 Northern Neck Dr102
Vienna, VA 22182
Phone 703-795-3804
Mailing address
1510 Northern Neck Dr102
Vienna, VA 22182
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