Provider Demographics
NPI:1861628257
Name:KREMER, KIM U (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KIM
Middle Name:U
Last Name:KREMER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 CENTRAL DR
Mailing Address - Street 2:
Mailing Address - City:SOUTHERN PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28387-2818
Mailing Address - Country:US
Mailing Address - Phone:919-478-5791
Mailing Address - Fax:919-718-0922
Practice Address - Street 1:810 CENTRAL DR
Practice Address - Street 2:
Practice Address - City:SOUTHERN PINES
Practice Address - State:NC
Practice Address - Zip Code:28387-2818
Practice Address - Country:US
Practice Address - Phone:919-478-5791
Practice Address - Fax:919-718-0922
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-31
Last Update Date:2009-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12756183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist