Most Relevant Information
Provider Data
| NPI Number: | 1003198458 |
| Provider Name: | MARK Y KIM RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 47235 |
Most Important Dates
| Enumeration Date: | 09/12/2011 |
| Last Updated: | 09/12/2011 |
Provider Practice Location
510 N ALAMO RD
ALAMO
TX
785162306
Practice Location Phone/Fax
| Phone: | 9567824779 |
| Fax: |
Provider Mailing Location
510 N ALAMO ROAD
ALAMO
TX
78516
Provider Mailing Phone/Fax
| Phone: | 9567824779 |
| Fax: |