Individual
LISA CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1166 DRAPER PKWY, DRAPER, UT 84020-9095
(801) 571-3169
Mailing address
244 PRINCETON DR, MIDVALE, UT 84047-7499
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
57299561701
UT
Other
Enumeration date
10/13/2008
Last updated
10/13/2008
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