Provider Demographics
NPI:1487749933
Name:CHUNG, EUNSUK (RPH, PHARM D)
Entity type:Individual
Prefix:DR
First Name:EUNSUK
Middle Name:
Last Name:CHUNG
Suffix:
Gender:F
Credentials:RPH, PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 LOCUST CREST COURT
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603
Mailing Address - Country:US
Mailing Address - Phone:845-831-2000
Mailing Address - Fax:845-838-5189
Practice Address - Street 1:HUDSON VALLEY HEALTH CENTER
Practice Address - Street 2:ROUTE 9D
Practice Address - City:CASTLEPOINT
Practice Address - State:NY
Practice Address - Zip Code:12511-5000
Practice Address - Country:US
Practice Address - Phone:845-831-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2011-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT74291835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist