Shelly Kim

NPI #1235412438 in Deer Park, New York

Provider Information

NPI Number: 1235412438
Entity Type: Individual
Name: Shelly Kim
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Sep 23, 2011
Last Updated: Sep 23, 2011

Practice Location

Address: 1770 DEER PARK AVE
City: Deer Park
State: New York
ZIP Code: 11729-5203
Phone: (631) 667-7023

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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