Shannon Kim

NPI #1710556410 in Glendale, New York

Provider Information

NPI Number: 1710556410
Entity Type: Individual
Name: Shannon Kim
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jun 18, 2021
Last Updated: Jun 18, 2021

Practice Location

Address: 6802 MYRTLE AVE
City: Glendale
State: New York
ZIP Code: 11385-7235
Phone: (718) 456-1180

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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