Individual provider · Type 1 NPI

Jisu Kim

Pharmacist · Seaside, CA

NPI number 1639717085 Active

Practice location

1055 Fremont Blvd
Seaside, CA 93955-5712

Call (831) 393-9231 Map

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000XPH238383 (MA)
Pharmacist Primary 183500000XRPH81253 (CA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1639717085

Jisu Kim's National Provider Identifier is 1639717085, issued on Dec 17, 2019. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Seaside, CA. The record was last updated on Feb 24, 2020.