NPI 1013511245

Alice Kim, RPH

Practitioner Pharmacist Reston, VA

Practice location

Address: 12197 Sunset Hills Rd, Reston, VA 20190-3208
Phone: (703) 478-9698

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 0202214186 (VA)

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Registry record

NPI: 1013511245
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Nov 2020
Record last updated: 29 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.