Individual
DOUGLAS CHU CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
148 EASTERN BLVD, GLASTONBURY, CT 06033-4321
(860) 657-8014
Mailing address
148 EASTERN BLVD, GLASTONBURY, CT 06033-4321
(860) 657-8014
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6056
CT
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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