Individual
JISU J CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 E INDIAN SCHOOL RD, PHOENIX, AZ 85014-4620
(602) 266-0273
Mailing address
1805 E 2ND PL, MESA, AZ 85203-8211
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S023636
AZ
Other
Enumeration date
01/26/2019
Last updated
01/26/2019
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