Organization
MAN YOUNG JUNG
Active
Other names
MATS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JUN JUNG RPH (OWNER)
(626) 794-7197
Entity
Organization
Contact information
Practice address
2264 LINCOLN AVE, ALTADENA, CA 91001-5432
(626) 794-7197
(626) 794-3371
Mailing address
2264 LINCOLN AVE, ALTADENA, CA 91001-5432
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY33830
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0528109
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/13/2007
Last updated
05/04/2009
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