Da Som Kim, PharmD
Pharmacist, Ambulatory Care in New York, NY. Individual provider (NPI-1).
NPI number1124636634
StatusActive
Last updated in NPPESSep 20, 2023
Details
- NPI
- 1124636634
- Entity type
- Individual (NPI-1)
- Name
- Da Som Kim
- Credential
- PharmD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2020
- Certification date
- Dec 12, 2022
- Last updated
- Sep 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1835P2201X | Pharmacist, Ambulatory Care | 067805 | NY | Yes |
| 183500000X | Pharmacist | 051303155 | IL |
Practice location
462 1st AveNew York, NY 10016-9196
Phone 212-562-1000 · Fax 212-562-1665
Mailing address
2415 Church Ave Apt 709Brooklyn, NY 11226-8444
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