Bo Kim
Pharmacist in Campbell, CA. Individual provider (NPI-1).
NPI number1104357045
StatusActive
Last updated in NPPESMar 22, 2017
Details
- NPI
- 1104357045
- Entity type
- Individual (NPI-1)
- Name
- Bo Kim
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 22, 2017
- Last updated
- Mar 22, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | rph45089 | CA | Yes |
Practice location
220 E Hacienda AveCampbell, CA 95008-6617
Phone 408-871-6339
Mailing address
220 E Hacienda AveCampbell, CA 95008-6617
Phone 408-871-6339
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 28 Pharmacist providers in Campbell · All 2,130 providers in Campbell
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