Individual
BRIAN FUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, MPH
Contact information
Practice address
2121 1ST ST SW APT 839, WASHINGTON, DC 20024-3761
(202) 750-5692
Mailing address
2121 1ST ST SW APT 839, WASHINGTON, DC 20024-3761
(202) 750-5692
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
122628
MN
183500000X
Pharmacist
9027449-1701
UT
183500000X
Pharmacist
Primary
PS50431
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122628
MINNESOTA BOARD OF PHARMACY
MN
01
—
9027449-1701
UTAH DIVISION OF PROFESSIONAL LICENSING
UT
01
—
PS50431
FLORIDA BOARD OF PHARMACY
FL
Enumeration date
02/14/2023
Last updated
02/14/2023
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