Douglas Chung

NPI #1134582703 in Willimantic, Connecticut

Provider Information

NPI Number: 1134582703
Entity Type: Individual
Name: Douglas Chung
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Mar 31, 2016
Last Updated: Apr 2, 2016

Practice Location

Address: 1200 MAIN ST
City: Willimantic
State: Connecticut
ZIP Code: 06226-1908
Phone: (860) 456-5931

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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