MEDICARE: SONIA CHUNG 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	1835P1200X	Pharmacotherapy Pharmacist	03226461	OH

General Provider Information

NPI Number	:	1164704532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONIA CHUNG PHARMD

Provider Business Mailing Address
First Line	:	830 BRITTAIN RD
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44305-1307
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	830 BRITTAIN RD
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44305-1307
Country	:	US
Telephone Number	:	330-784-3907
Fax Number	:

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

Provider Enumeration Date	:	09/12/2011
Last Update Date	:	09/12/2011

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Directions to “ SONIA CHUNG PHARMD” Practice Location

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