Individual
CHAE HYUNG CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
152 FRONT ST, PONTE VEDRA BEACH, FL 32082-3058
(904) 285-3634
Mailing address
411 WILLOW WINDS PKWY, SAINT JOHNS, FL 32259-7271
(770) 596-9919
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS55677
FL
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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