Provider Demographics
NPI:1104423789
Name:YOON, SEOK CHAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SEOK CHAN
Middle Name:
Last Name:YOON
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:CHAN
Other - Middle Name:
Other - Last Name:YOON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:343 SPRINGFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:BERKELEY HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07922-1108
Mailing Address - Country:US
Mailing Address - Phone:908-464-2095
Mailing Address - Fax:
Practice Address - Street 1:343 SPRINGFIELD AVE
Practice Address - Street 2:
Practice Address - City:BERKELEY HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:07922-1108
Practice Address - Country:US
Practice Address - Phone:908-464-2095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04128000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist