Provider Demographics
NPI:1548984941
Name:CHUN, SUHRYOUNG CHRISTINE (RPH)
Entity type:Individual
Prefix:
First Name:SUHRYOUNG
Middle Name:CHRISTINE
Last Name:CHUN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3831 APPIAN ST
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-6009
Mailing Address - Country:US
Mailing Address - Phone:609-902-1142
Mailing Address - Fax:
Practice Address - Street 1:1620 FIRST ST
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94550-4363
Practice Address - Country:US
Practice Address - Phone:925-724-0131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-29
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86941183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist