Jung, Ja Kyung
Jung, Ja Kyung is an individual health care provider with primary practice located at 3301 N Ridge Rd , Ellicott City MD 21043-7500. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Jung, Ja Kyung can be contacted via phone (410) 480-3817.Contact Information
Primary practice address
3301 N Ridge Rd
Ellicott City MD 21043-7500
Phone: (410) 480-3817
Fax: (410) 480-3835
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 15694 | Maryland |
Profile Details
| NPI number | 1689842015 |
|---|---|
| LBN Legal business name | Jung, Ja Kyung |
| Credentials | PHARM.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 19th, 2008 |
| Last updated | Feb 19th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689842015 | NPPES |
| Maryland | Other | 15694 | MD RPH STATE LICENSE |
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