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Individual

MRS. ALICE KEY CHUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
1127 BRYN MAWR AVE, STE A, REDLANDS, CA 92374-4558
(909) 796-7171
(909) 799-4364
Mailing address
P.O. BOX 840688, DALLAS, TX 75284-0688
(909) 796-7171
(909) 799-4364

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
55538
CA

Other

Enumeration date
09/10/2012
Last updated
09/10/2012
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