MEDICARE: RAYMOND JUNSHIK YUN 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	29827	NC

General Provider Information

NPI Number	:	1437748977
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAYMOND JUNSHIK YUN PHARMD

Provider Business Mailing Address
First Line	:	225 W MARTIN LUTHER KING JR BLVD
Second Line	:	APT 2113
City	:	CHARLOTTE
State	:	NC
Zip	:	28202
Country	:	US
Telephone Number	:	919-455-6508
Fax Number	:

Provider Business Practice Location Address
First Line	:	2115 BEATTIES FORD RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28216-4307
Country	:	US
Telephone Number	:	704-394-5026
Fax Number	:

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

Provider Enumeration Date	:	01/11/2021
Last Update Date	:	01/11/2021

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