Provider Demographics
NPI:1407285539
Name:CHUN, JULIAN (PHARMD, MBA)
Entity Type:Individual
Prefix:DR
First Name:JULIAN
Middle Name:
Last Name:CHUN
Suffix:
Gender:M
Credentials:PHARMD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 N BROADWAY
Mailing Address - Street 2:SUITE 1001
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21231
Mailing Address - Country:US
Mailing Address - Phone:410-955-5747
Mailing Address - Fax:410-502-1517
Practice Address - Street 1:401 N BROADWAY
Practice Address - Street 2:SUITE 1001
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21231
Practice Address - Country:US
Practice Address - Phone:410-955-5747
Practice Address - Fax:410-502-1517
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-08
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16310183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist