Individual provider · Type 1 NPI

Shannon Kim

Pharmacist · Glendale, NY

NPI number 1710556410 Active

Practice location

6802 Myrtle Ave
Glendale, NY 11385-7235

Call (718) 456-1180 Map

Mailing address

3 Lynhaven Pl
South Setauket, NY 11720-1213

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	064616 (NY)

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…

5 other providers at this address

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About NPI 1710556410

Shannon Kim's National Provider Identifier is 1710556410, issued on Jun 18, 2021. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Glendale, NY. The record was last updated on Jun 18, 2021.