Most Relevant Information
Provider Data
| NPI Number: | 1003419920 |
| Provider Name: | CHEL HO LIM |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PS59655 |
Most Important Dates
| Enumeration Date: | 11/21/2020 |
| Last Updated: | 11/21/2020 |
Provider Practice Location
870 SADLER RD
FERNANDINA BEACH
FL
320344752
Practice Location Phone/Fax
| Phone: | 9042610836 |
| Fax: |
Provider Mailing Location
870 SADLER RD
FERNANDINA BEACH
FL
320344752
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |