Provider Demographics
NPI:1023326865
Name:AHN, JUN (RPH)
Entity type:Individual
Prefix:MR
First Name:JUN
Middle Name:
Last Name:AHN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 DOUTY CT
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-8852
Mailing Address - Country:US
Mailing Address - Phone:919-606-7197
Mailing Address - Fax:
Practice Address - Street 1:1131 SPRING LN
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-3461
Practice Address - Country:US
Practice Address - Phone:919-774-6610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-14
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16576183500000X
NY044375-1183500000X
MA22386183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist