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NPI Code Detail

MEDICARE: JEONG EUN YUM PHARM D

MEDICARE: JEONG EUN YUM 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
1183500000XPharmacist65344TX

General Provider Information

NPI Number : 1477109379
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEONG EUN YUM PHARM D
Provider Business Mailing Address
First Line : 4905 DESERT FALLS DR
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-4677
Country : US
Telephone Number : 201-566-5544
Fax Number :
Provider Business Practice Location Address
First Line : 1819 E BETHANY DR
Second Line :
City : ALLEN
State : TX
Zip : 75002-1882
Country : US
Telephone Number : 972-359-2884
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2019
Last Update Date : 08/15/2019

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Directions to “ JEONG EUN YUM PHARM D” Practice Location

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