Provider / Organization | NPI | Date Certified |
---|---|---|
ALFUNZO KIM | 1194324566 | 2020-10-18 |
Alfunzo Kim is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1194324566. Registration indicates Alfunzo Kim is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
Entity Type | Individual |
Provider Name | Alfunzo Kim PHARM D. |
Practice Office Address | 2323 CAPITAL DR NORTHBROOK, IL US |
Practice Office Telephone | 8475130077 |
Mailing Address | 1826 AZALEA LN MOUNT PROSPECT, IL 600561808 US |
Business Telephone | 2248481575 |
pharmacy retail network [] | EPRN | Direct |
Code | Practice | License No State |
---|---|---|
183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | 051300872
IL |