Provider Demographics
NPI:1194209841
Name:JUNG, LUNNY RONNIE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:LUNNY
Middle Name:RONNIE
Last Name:JUNG
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 1:1939 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:SELMA
Mailing Address - State:CA
Mailing Address - Zip Code:93662-3510
Mailing Address - Country:US
Mailing Address - Phone:559-896-1645
Mailing Address - Fax:559-896-3266
Practice Address - Street 1:1939 HIGH ST
Practice Address - Street 2:
Practice Address - City:SELMA
Practice Address - State:CA
Practice Address - Zip Code:93662-3510
Practice Address - Country:US
Practice Address - Phone:559-896-1645
Practice Address - Fax:559-896-3266
Is Sole Proprietor?:No
Enumeration Date:2018-09-19
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27764183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist