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NPI Code Detail

MEDICARE: DR. GLORIA SUNG PHARM.D.

MEDICARE:  DR. GLORIA  SUNG  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
1183500000XPharmacistRP454231PA
2183500000XPharmacist0202217738VA
3183500000XPharmacistRPH031010GA
4183500000XPharmacist66166TX

General Provider Information

NPI Number : 1730783945
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GLORIA SUNG PHARM.D.
Provider Business Mailing Address
First Line : 901 GRANGE HALL DR APT 1304
Second Line :
City : EULESS
State : TX
Zip : 76039-2225
Country : US
Telephone Number : 832-741-4706
Fax Number :
Provider Business Practice Location Address
First Line : 751 ALTA MERE DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76116-1526
Country : US
Telephone Number : 817-566-0566
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2020
Last Update Date : 11/28/2020

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Directions to “ DR. GLORIA SUNG PHARM.D.” Practice Location

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