MR. Mario I Kim, BS

NPI #1225247687 in Freeport, New York

Provider Information

NPI Number: 1225247687
Entity Type: Individual
Name: MR. Mario I Kim, BS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: BS
Enumeration Date: May 22, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 88 W MERRICK RD
City: Freeport
State: New York
ZIP Code: 11520-3710
Phone: (516) 377-8500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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