NPI 1124738026

Chaewon Kim

Practitioner Pharmacist Revere, MA

Practice location

Address: 467 Broadway, Revere, MA 02151-3030
Phone: (781) 289-8656
Mailing address: 1 Longfellow Pl APT 2118, Boston, MA 02114-2419

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PH241248 (MA)

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Registry record

NPI: 1124738026
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Dec 2022
Record last updated: 1 Dec 2022

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.