Most Relevant Information
Provider Data
| NPI Number: | 1003340548 |
| Provider Name: | KRISTIN KIM |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PS53667 |
Most Important Dates
| Enumeration Date: | 04/11/2017 |
| Last Updated: | 04/11/2017 |
Provider Practice Location
2046 NE WALDO RD STE 3100
GAINESVILLE
FL
326098977
Practice Location Phone/Fax
| Phone: | 3522739694 |
| Fax: |
Provider Mailing Location
2046 NE WALDO RD STE 3100
GAINESVILLE
FL
326098977
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |