Most Relevant Information
Provider Data
| NPI Number: | 1003412453 |
| Provider Name: | HANNAH KIM |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 28RI03642600 |
Most Important Dates
| Enumeration Date: | 12/10/2020 |
| Last Updated: | 12/10/2020 |
Provider Practice Location
455 S BROADWAY
GLOUCESTER CITY
NJ
080302319
Practice Location Phone/Fax
| Phone: | 8564568500 |
| Fax: |
Provider Mailing Location
1049 SWALLOW DR
CHERRY HILL
NJ
080032849
Provider Mailing Phone/Fax
| Phone: | 2158684925 |
| Fax: |