Most Relevant Information
Provider Data
| NPI Number: | 1003424409 |
| Provider Name: | NICHOLAS KIM |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 71954 |
Most Important Dates
| Enumeration Date: | 07/21/2020 |
| Last Updated: | 12/28/2022 |
Provider Practice Location
260 EL CAMINO REAL
BURLINGAME
CA
940105120
Practice Location Phone/Fax
| Phone: | 4084806114 |
| Fax: |
Provider Mailing Location
260 EL CAMINO REAL
BURLINGAME
CA
940105120
Provider Mailing Phone/Fax
| Phone: | 4084806114 |
| Fax: |