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MYOUNGJA KIM

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1285280172

Individual Registrant:
 MYOUNGJA  KIM 
Gender: F
Sole Proprietor

Location and contact information for practice:
1599 TIBURON BLVD  BELVEDERE TIBURON, CA 94920-2525 US
Tel: 415-435-3843  Fax: --

Contact information for business:
1599 TIBURON BLVD  BELVEDERE TIBURON, CA 94920-2525 US
Tel: 415-435-3843  Fax: --

Registration Information:
NPI: 1285280172
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CA80643

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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