Provider Demographics
NPI:1740605674
Name:CHUNG & HIEN LLC
Entity Type:Organization
Organization Name:CHUNG & HIEN LLC
Other - Org Name:ELGIN PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/PIC
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-259-3931
Mailing Address - Street 1:1202 ELGIN ST # B
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-2829
Mailing Address - Country:US
Mailing Address - Phone:713-533-9033
Mailing Address - Fax:713-533-9047
Practice Address - Street 1:1202 ELGIN ST STE B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-2829
Practice Address - Country:US
Practice Address - Phone:713-533-9033
Practice Address - Fax:713-533-9047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-01
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX148930Medicaid