Provider Demographics
NPI:1912225657
Name:KIM, OI CHEE (PHARMD)
Entity Type:Individual
Prefix:
First Name:OI
Middle Name:CHEE
Last Name:KIM
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:OI
Other - Middle Name:CHEE
Other - Last Name:LUI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:500 S RIVER ST
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-6651
Mailing Address - Country:US
Mailing Address - Phone:201-329-7480
Mailing Address - Fax:201-329-7473
Practice Address - Street 1:500 S RIVER ST
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-6651
Practice Address - Country:US
Practice Address - Phone:201-329-7480
Practice Address - Fax:201-329-7473
Is Sole Proprietor?:No
Enumeration Date:2010-05-05
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048875183500000X
NJ28RI02927400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist