Provider Demographics
NPI:1437748977
Name:YUN, RAYMOND JUNSHIK (PHARMD)
Entity Type:Individual
Prefix:
First Name:RAYMOND
Middle Name:JUNSHIK
Last Name:YUN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 W MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:APT 2113
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28202
Mailing Address - Country:US
Mailing Address - Phone:919-455-6508
Mailing Address - Fax:
Practice Address - Street 1:2115 BEATTIES FORD RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28216-4307
Practice Address - Country:US
Practice Address - Phone:704-394-5026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC29827183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist