Provider Demographics
NPI:1639103575
Name:GYK INVESTMENT INC
Entity Type:Organization
Organization Name:GYK INVESTMENT INC
Other - Org Name:KIM'S PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:YOO
Authorized Official - Middle Name:KYUN
Authorized Official - Last Name:CHONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-455-7700
Mailing Address - Street 1:5280 BUFORD HWY NE STE A1
Mailing Address - Street 2:
Mailing Address - City:DORAVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30340-1117
Mailing Address - Country:US
Mailing Address - Phone:770-455-7700
Mailing Address - Fax:770-455-6376
Practice Address - Street 1:5280 BUFORD HWY NE STE A1
Practice Address - Street 2:
Practice Address - City:DORAVILLE
Practice Address - State:GA
Practice Address - Zip Code:30340-1117
Practice Address - Country:US
Practice Address - Phone:770-455-7700
Practice Address - Fax:770-455-6376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2017-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPHRE0067563336C0003X
GAPHRE0103333336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail PharmacyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00342317AMedicaid
GA1131539OtherNABP#