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NPI Code Detail

MEDICARE: JOY J JUNG RPH

MEDICARE: JOY J JUNG RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist12947-040WI

General Provider Information

NPI Number : 1952684037
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOY J JUNG RPH
Provider Business Mailing Address
First Line : 275 DAVISON DR
Second Line :
City : SUN PRAIRIE
State : WI
Zip : 53590-2034
Country : US
Telephone Number : 608-837-8566
Fax Number : 608-825-8259
Provider Business Practice Location Address
First Line : 275 DAVISON DR
Second Line :
City : SUN PRAIRIE
State : WI
Zip : 53590-2034
Country : US
Telephone Number : 608-837-8566
Fax Number : 608-825-8259
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2011
Last Update Date : 09/24/2011

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