Provider Demographics
NPI:1619368388
Name:WOO, HEEJUN (PHARMD)
Entity Type:Individual
Prefix:
First Name:HEEJUN
Middle Name:
Last Name:WOO
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:PO BOX 29247
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-0247
Mailing Address - Country:US
Mailing Address - Phone:210-673-3082
Mailing Address - Fax:210-673-4942
Practice Address - Street 1:9080 MARBACH RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78245-1810
Practice Address - Country:US
Practice Address - Phone:210-673-3082
Practice Address - Fax:210-673-4942
Is Sole Proprietor?:No
Enumeration Date:2015-02-16
Last Update Date:2016-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX55306183500000X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist