Evelyn Lana Kim
Pharmacist in Washington, DC. Individual provider (NPI-1).
NPI number1750856423
StatusActive
Last updated in NPPESNov 17, 2020
Details
- NPI
- 1750856423
- Entity type
- Individual (NPI-1)
- Name
- Evelyn Lana Kim
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 9, 2018
- Certification date
- Nov 17, 2020
- Last updated
- Nov 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 21001 | MD | Yes |
| 183500000X | Pharmacist | 0202210579 | VA |
Practice location
4500 Wisconsin Ave NwWashington, DC 20016-4628
Phone 202-244-1206
Mailing address
4500 Wisconsin Ave NwWashington, DC 20016-4628
Phone 202-244-1206
Other practice locations
5115 Leesburg Pike
Falls Church, VA 22041-3207
Falls Church, VA 22041-3207
Phone 703-253-0022
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