Individual provider · NPI-1

Dr. Michael Kim

Pharmacist · Franklin Lakes, NJ

NPI number1467733949
StatusActive
Last updated in NPPESMar 3, 2017

Details

NPI
1467733949
Entity type
Individual (NPI-1)
Name
Dr. Michael Kim
Sex
Male
Sole proprietor
No
Enumeration date
Aug 29, 2011
Last updated
Mar 3, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist28RI03386600NJYes

Practice location

100 Parsons Pond Dr
Franklin Lakes, NJ 07417-2604

Phone 201-396-2644

Mailing address

100 Parsons Pond Dr
Franklin Lakes, NJ 07417-2604

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