Most Relevant Information
Provider Data
| NPI Number: | 1003208760 |
| Provider Name: | OK CHUNG |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 030119 |
Most Important Dates
| Enumeration Date: | 03/04/2015 |
| Last Updated: | 03/04/2015 |
Provider Practice Location
21012 39TH AVE
3 FLOOR
BAYSIDE
NY
113611910
Practice Location Phone/Fax
| Phone: | 7182252999 |
| Fax: |
Provider Mailing Location
21012 39TH AVE
3 FLOOR
BAYSIDE
NY
113611910
Provider Mailing Phone/Fax
| Phone: | 7182252999 |
| Fax: |