Provider Demographics
NPI:1124525530
Name:SUK, JOUNGEUN (RPH)
Entity type:Individual
Prefix:
First Name:JOUNGEUN
Middle Name:
Last Name:SUK
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 1:3800 MAIN ST STE 102
Mailing Address - Street 2:
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-2838
Mailing Address - Country:US
Mailing Address - Phone:214-469-2244
Mailing Address - Fax:
Practice Address - Street 1:3800 MAIN ST STE 102
Practice Address - Street 2:
Practice Address - City:THE COLONY
Practice Address - State:TX
Practice Address - Zip Code:75056-2838
Practice Address - Country:US
Practice Address - Phone:214-469-2244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-11
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD13964183500000X
TX61741183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist