| NPI | 1407239429 |
|---|---|
| Former Name | JOANNA CHUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH235265) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03335056) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: OH 3151045) | |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2020-06-02 |