Individual
CHUNGYU CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 COBB PKWY S, MARIETTA, GA 30060-6509
(770) 429-9092
Mailing address
4647 WOODSTONE LN, PEACHTREE CORNERS, GA 30096-2992
(917) 348-3077
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-031963
GA
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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