Si Nae Kim
Pharmacist in Placerville, CA. Individual provider (NPI-1).
NPI number1669220331
StatusActive
Last updated in NPPESMay 8, 2024
Details
- NPI
- 1669220331
- Entity type
- Individual (NPI-1)
- Name
- Si Nae Kim
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 8, 2024
- Certification date
- May 8, 2024
- Last updated
- May 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 89478 | CA | Yes |
Practice location
3964 Missouri Flat Rd Ste APlacerville, CA 95667-5238
Phone 530-626-8642
Mailing address
10352 Jennick WayElk Grove, CA 95757-1604
Phone 916-243-8610
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All 41 Pharmacist providers in Placerville · All 1,220 providers in Placerville
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