Provider Demographics
NPI:1447850920
Name:CHUNG, DAWOON DANNY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DAWOON
Middle Name:DANNY
Last Name:CHUNG
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 1:299 VALLEY GATE DR
Mailing Address - Street 2:
Mailing Address - City:WARRINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:18976-2745
Mailing Address - Country:US
Mailing Address - Phone:215-488-9025
Mailing Address - Fax:215-488-9024
Practice Address - Street 1:299 VALLEY GATE DR
Practice Address - Street 2:
Practice Address - City:WARRINGTON
Practice Address - State:PA
Practice Address - Zip Code:18976-2745
Practice Address - Country:US
Practice Address - Phone:215-488-9025
Practice Address - Fax:215-488-9024
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-26
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP443045183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist