NPI 1093178923

Jeffrey Y H Chung LLC

Organisation Non-Pharmacy Dispensing Site Laurel, MD

Practice location

Address: 14201 Laurel Park Dr STE 104, Laurel, MD 20707-5203
Phone: (727) 755-0693
Mailing address: 311 Park Place Blvd Fl 5, Clearwater, FL 33759-4904

Authorised official

Name: Ariana Bedoya
Title: Credentialing Manager
Phone: (727) 755-0693

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X Licence D67554 (MD)

Other Non-Pharmacy Dispensing Site providers in Maryland →

Registry record

NPI: 1093178923
Entity type: Organization
NPI issued: 29 Mar 2016
Record last updated: 29 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.