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General NPI Number Information
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NPI Number | 1184490823
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Entity Type | Organization
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Legal Business Name | CHUNG'S PHARMACY INC
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Dates
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Enumeration Date | 12/04/2023
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Last Update Date | 08/16/2024
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Provider Practice Location Address
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Address Line | 1225 ROSE AVE
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City | SELMA
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State | CA
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Zip | 93662-3227
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Country | US
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Telephone | 559-620-7102
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Fax | 559-620-7107
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Provider Business Mailing Address
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Address Line | 2741 N BURGAN AVE
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City | FRESNO
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State | CA
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Zip | 93727-8972
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, OWNER
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Name | TOMMY CHUNG
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Credential | PHARMD
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Telephone | 559-620-7102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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