Most Relevant Information
Provider Data
| NPI Number: | 1003440652 |
| Provider Name: | SOO-IN KIM |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 17247-40 |
Most Important Dates
| Enumeration Date: | 02/22/2020 |
| Last Updated: | 02/22/2020 |
Provider Practice Location
6020 W BROWN DEER RD
BROWN DEER
WI
532232227
Practice Location Phone/Fax
| Phone: | 4143653608 |
| Fax: |
Provider Mailing Location
6020 W BROWN DEER RD
BROWN DEER
WI
532232227
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |