Provider Demographics
NPI:1114496957
Name:CHUNG, ANDREW HOON (PHARM D)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:HOON
Last Name:CHUNG
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 WEATHERLY PL APT B
Mailing Address - Street 2:
Mailing Address - City:COLLEGE POINT
Mailing Address - State:NY
Mailing Address - Zip Code:11356-1178
Mailing Address - Country:US
Mailing Address - Phone:917-369-4794
Mailing Address - Fax:
Practice Address - Street 1:7611A BROADWAY
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-1032
Practice Address - Country:US
Practice Address - Phone:718-507-9277
Practice Address - Fax:718-507-9278
Is Sole Proprietor?:No
Enumeration Date:2018-11-23
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY064573183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist