Most Relevant Information
Provider Data
NPI Number: | 1003386723 |
Provider Name: | SEUL KIM |
Entity Type: | Individual |
Taxonomy Code: | 183500000X |
Specialty: | Pharmacist |
License Number: | PCT.0014526 |
Most Important Dates
Enumeration Date: | 11/26/2018 |
Last Updated: | 11/26/2018 |
Provider Practice Location
399 W MAIN ST
NORWICH
CT
063605414
Practice Location Phone/Fax
Phone: | 8608850389 |
Fax: |
Provider Mailing Location
41 SOUTH RD APT 12A
GROTON
CT
063404628
Provider Mailing Phone/Fax
Phone: | 2039170238 |
Fax: |