Individual
AUDREY LISA CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4501 W SLAUSON AVE, LOS ANGELES, CA 90043-2719
(323) 292-4114
Mailing address
4501 W SLAUSON AVE, LOS ANGELES, CA 90043-2719
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
75970
CA
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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