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Individual

DR. JA KYUNG JUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
3301 N RIDGE RD, ELLICOTT CITY, MD 21043-7500
(410) 480-3817
(410) 480-3835
Mailing address
6012 CHARLES EDWARD TER, COLUMBIA, MD 21045-5096

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15694
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15694
MD RPH STATE LICENSE
MD
Enumeration date
02/19/2008
Last updated
02/19/2008
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