Individual
JASON CHEUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1571 N DIXIE AVE, ELIZABETHTOWN, KY 42701-2653
(270) 737-0352
Mailing address
2215 CROSSFIELD DR APT C, ELIZABETHTOWN, KY 42701-7852
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020235
KY
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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