Provider Demographics
NPI:1568011575
Name:YUN, SUNGIN (PHARMD)
Entity Type:Individual
Prefix:
First Name:SUNGIN
Middle Name:
Last Name:YUN
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 1:3900 CITY AVE APT J212
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19131-3038
Mailing Address - Country:US
Mailing Address - Phone:813-352-3454
Mailing Address - Fax:
Practice Address - Street 1:3900 CITY AVE APT J212
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131-3038
Practice Address - Country:US
Practice Address - Phone:813-352-3454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-11
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP453790183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist