Provider Demographics
NPI:1881365369
Name:CHUONG, GERALD (PHARMD)
Entity type:Individual
Prefix:DR
First Name:GERALD
Middle Name:
Last Name:CHUONG
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 1:8351 ELK GROVE FLORIN RD
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95829-9453
Mailing Address - Country:US
Mailing Address - Phone:203-494-8909
Mailing Address - Fax:
Practice Address - Street 1:8351 ELK GROVE FLORIN RD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95829-9453
Practice Address - Country:US
Practice Address - Phone:916-681-7913
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-23
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCT.0015647183500000X
CA85951183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist