Provider Demographics
NPI:1396942694
Name:CHUNG, AMY H (PHARMD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:H
Last Name:CHUNG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MRS
Other - First Name:AMY
Other - Middle Name:H
Other - Last Name:CHAO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6812 SANCTUARY CT
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-6235
Mailing Address - Country:US
Mailing Address - Phone:301-529-3421
Mailing Address - Fax:
Practice Address - Street 1:10 N GREENE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1524
Practice Address - Country:US
Practice Address - Phone:410-605-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18387183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist