Provider Demographics
NPI:1790390284
Name:CHUN, EUNHWA (RPH)
Entity Type:Individual
Prefix:
First Name:EUNHWA
Middle Name:
Last Name:CHUN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4480 MARKET COMMONS DR UNIT 606
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-6063
Mailing Address - Country:US
Mailing Address - Phone:757-418-1835
Mailing Address - Fax:
Practice Address - Street 1:13926 LEE HWY
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20120-2415
Practice Address - Country:US
Practice Address - Phone:703-259-6200
Practice Address - Fax:703-259-6206
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202219070183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist