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Organization
YONG W JEONG
Active
Organization
YONG W JEONG
Active
Other names
PHARMACARE DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
GREG JEONG (RPH LAC PHD)
(972) 247-5670
Entity
Organization
Contact information
Practice address
2552 ROYAL LN, DALLAS, TX 75229-3417
(972) 247-5670
(972) 247-5670
Mailing address
2552 ROYAL LN, DALLAS, TX 75229-3417
(972) 247-5670
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
11564
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142912
—
TX
01
—
2096580
PK
—
Enumeration date
07/22/2006
Last updated
04/10/2017
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