NPI 1063016715 · live from the CMS NPI Registry
Yeon-Kyung Chung
Pharmacy, Community/Retail Pharmacy in Las Vegas, NV. National Provider Identifier 1063016715, active.
NPI record
| NPI | 1063016715 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 5985 W Tropicana Ave, Las Vegas, NV 89103 |
| Practice phone | 702-252-0031 |
| Enumerated | November 23, 2020 |
| Last updated | November 23, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | 17651 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.