NPI 1205212909

Harrison J Kim

Practitioner Pharmacy Technician Fairfax, VA

Practice location

Address: 10301 New Guinea Rd, Fairfax, VA 22032-3268
Phone: (703) 764-5112
Fax: (703) 828-1728

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence 0230026712 (VA)

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Registry record

NPI: 1205212909
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Aug 2015
Record last updated: 4 Aug 2015

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.