Peter Kim
Pharmacist in New York, NY. Individual provider (NPI-1).
NPI number1124492467
StatusActive
Last updated in NPPESNov 22, 2016
Details
- NPI
- 1124492467
- Entity type
- Individual (NPI-1)
- Name
- Peter Kim
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 24, 2015
- Last updated
- Nov 22, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 060708 | NY | Yes |
Practice location
455 W 37th StNew York, NY 10018-4081
Phone 212-643-6090 · Fax 212-643-6094
Mailing address
854 8th AveApt 5b
New York, NY 10019-6203
Phone 847-322-2345
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