MEDICARE: DR. HEE-JUNG PYUN PHARMD

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
1	183500000X	Pharmacist	20836	MD

General Provider Information

NPI Number	:	1144576976
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HEE-JUNG PYUN PHARMD

Provider Business Mailing Address
First Line	:	3343 CORRIDOR MARKETPLACE
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20724-2378
Country	:	US
Telephone Number	:	301-483-0949
Fax Number	:

Provider Business Practice Location Address
First Line	:	6717 RITCHIE HWY
Second Line	:	T-1938
City	:	GLEN BURNIE
State	:	MD
Zip	:	21061-2318
Country	:	US
Telephone Number	:	410-487-0039
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/30/2012
Last Update Date	:	01/20/2015

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