| Jack Kim, | |
|
100 County Road B W, Maplewood, MN 55117-1931 | |
| (608) 772-8773 | |
| Not Available |
| Full Name | Jack Kim |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 100 County Road B W, Maplewood, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770264103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | PH-4988 (Hawaii) | Secondary |
| 183500000X | Pharmacist | 126132 (Minnesota) | Primary |
| 183500000X | Pharmacist | 22263 (Wisconsin) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Kim, 100 County Road B W, Maplewood, MN 55117-1931 Ph: (608) 772-8773 | Jack Kim, 100 County Road B W, Maplewood, MN 55117-1931 Ph: (608) 772-8773 |
Nathan Berger, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2920 White Bear Ave N, Maplewood, MN 55109 Phone: 651-770-0476 | |
Danny Diep, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2390 White Bear Ave N, Maplewood, MN 55109 Phone: 651-777-3113 | |
Stuart James Remus, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 100 County Road B W, Maplewood, MN 55117 Phone: 651-489-6271 Fax: 651-487-0966 | |
Minh Do, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2920 White Bear Ave N, Maplewood, MN 55109 Phone: 651-251-9938 Fax: 651-251-9944 | |
Dr. Amanda Jo Perkins, PHARM D. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2165 White Bear Ave N, Maplewood, MN 55109 Phone: 612-740-6515 | |
Clay Funkhouser, PHARM. D. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2920 White Bear Ave N, Maplewood, MN 55109 Phone: 651-251-9938 | |
Mr. Mark Richard Millar, PHARM.D Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2920 White Bear Ave N, Maplewood, MN 55109 Phone: 651-251-9938 Fax: 651-251-9944 |