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NPI Code Detail

MEDICARE: YOUNG JOO JUN

MEDICARE: YOUNG JOO JUN
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
1183500000XPharmacist17686MD

General Provider Information

NPI Number : 1700186863
Entity Type Code : Individual
Provider Name (Legal Business Name) : YOUNG JOO JUN
Provider Business Mailing Address
First Line : 11710 OLD GEORGETOWN RD APT 906E
Second Line :
City : ROCKVILLE
State : MD
Zip : 20852-2680
Country : US
Telephone Number : 240-361-7772
Fax Number :
Provider Business Practice Location Address
First Line : 5000 BRADLEY BLVD
Second Line :
City : BETHESDA
State : MD
Zip : 20815-6559
Country : US
Telephone Number : 301-654-4169
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2010
Last Update Date : 02/21/2012

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Directions to “ YOUNG JOO JUN ” Practice Location

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