Provider Demographics
NPI:1144576976
Name:PYUN, HEE-JUNG (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HEE-JUNG
Middle Name:
Last Name:PYUN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3343 CORRIDOR MARKETPLACE
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20724-2378
Mailing Address - Country:US
Mailing Address - Phone:301-483-0949
Mailing Address - Fax:
Practice Address - Street 1:6717 RITCHIE HWY
Practice Address - Street 2:T-1938
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-2318
Practice Address - Country:US
Practice Address - Phone:410-487-0039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-30
Last Update Date:2015-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD20836183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist