Individual
DOUGLAS CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 MAIN ST, WILLIMANTIC, CT 06226-1908
(860) 456-5931
(860) 456-1839
Mailing address
1200 MAIN ST, WILLIMANTIC, CT 06226-1908
(860) 456-5931
(860) 456-1869
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0005939
CT
Other
Enumeration date
03/31/2016
Last updated
04/02/2016
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