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NPI Code Detail

MEDICARE: JESSIE SONNA JUNG PHARM.D.

MEDICARE: JESSIE SONNA JUNG PHARM.D.
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
1183500000XPharmacist09992NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134552409
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSIE SONNA JUNG PHARM.D.
Provider Business Mailing Address
First Line : 7606 MCCRIMMON PKWY
Second Line :
City : CARY
State : NC
Zip : 27519-0847
Country : US
Telephone Number : 919-244-3228
Fax Number :
Provider Business Practice Location Address
First Line : 3601 DAVIS DR
Second Line :
City : MORRISVILLE
State : NC
Zip : 27560-8845
Country : US
Telephone Number : 919-468-6880
Fax Number : 919-468-6494
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2013
Last Update Date : 08/09/2013

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