Organization
CHUNGKANG PHARMACY, LLC
Active
Other names
Centreville Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPHINE CHUNG (OWNER)
(571) 655-2393
Entity
Organization
Contact information
Practice address
14637 LEE HIGHWAY, #109B, CENTREVILLE, VA 20121
(571) 655-2393
(571) 655-2393
Mailing address
14637 LEE HIGHWAY, #109B, CENTREVILLE, VA 20121
(571) 655-2393
(571) 655-2393
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/04/2016
Last updated
05/13/2020
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