NPI 1235654195

Judith Kim

Practitioner Pharmacist Gambrills, MD

Practice location

Address: 2633 Brandermill Blvd, Gambrills, MD 21054-1645
Phone: (410) 451-9448
Mailing address: 7775 Chatfield Ln, Ellicott City, MD 21043-7916

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 25090 (MD)

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Registry record

NPI: 1235654195
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Aug 2017
Record last updated: 11 Aug 2017

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.