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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACK KIM

Active

JACK KIM is a Pharmacist healthcare provider located in MAPLEWOOD, Minnesota. NPI 1770264103 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · MAPLEWOOD, MN

Registration Details

NPI Number
1770264103
Provider Type
Individual
Gender
Male
NPI Issued
Jul 27, 2023 (3.0481565083721 yrs)
Last Updated
Aug 28, 2024
Licenses
PH-4988 (HI)
126132 (MN)
22263 (WI)

Practice Information

Address
100 COUNTY ROAD B W
MAPLEWOOD, MN, 551171931
Browse MN providers · Browse ZIP 55117
Phone
6087728773
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist
Additional Specialty
Pharmacist

Other Pharmacist Providers in MAPLEWOOD, MN

Name Credential NPI
DR. STEVEN J BRUIN PHARMD 1114971272
DR. AMANDA JO PERKINS PHARM D. 1144312026
STUART JAMES REMUS RPH 1124221577
DR. BRIAN MARTIN MEGER PHARMD, RPH 1730345380
LINH NGUYEN 1598919698
MINH DO PHARMD 1124304837
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.