Organization
SUE JUNG INC
Active
Other names
SUPERMARKET PHARMACY #2
Organization subpart
No
Provider details
NPI number
Authorized official
SANG JEON (OWNER/PRESIDENT)
(213) 385-3321
Entity
Organization
Contact information
Practice address
325 1/2 S WESTERN AVE, LOS ANGELES, CA 90020-3804
(213) 385-3321
(213) 385-3612
Mailing address
325 1/2 S WESTERN AVE, LOS ANGELES, CA 90020-3804
(213) 385-3321
(213) 385-3612
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY48285
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0519871
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/17/2006
Last updated
02/22/2012
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