Provider Demographics
NPI:1104123033
Name:JANG, JULIA HYUN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:HYUN
Last Name:JANG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:HYUN
Other - Middle Name:JI
Other - Last Name:JANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:119 BROAD AVE
Mailing Address - Street 2:
Mailing Address - City:PALISADES PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07650-1441
Mailing Address - Country:US
Mailing Address - Phone:201-592-0735
Mailing Address - Fax:201-592-0739
Practice Address - Street 1:119 BROAD AVE
Practice Address - Street 2:
Practice Address - City:PALISADES PARK
Practice Address - State:NJ
Practice Address - Zip Code:07650-1441
Practice Address - Country:US
Practice Address - Phone:201-592-0735
Practice Address - Fax:201-592-0739
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-10
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050344183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist