Provider Demographics
NPI:1528640661
Name:JUN, JU EUN (PHARMD)
Entity type:Individual
Prefix:
First Name:JU EUN
Middle Name:
Last Name:JUN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 SHEFFIELD RD
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-1834
Mailing Address - Country:US
Mailing Address - Phone:201-755-7497
Mailing Address - Fax:
Practice Address - Street 1:417 SHEFFIELD RD
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-1834
Practice Address - Country:US
Practice Address - Phone:201-755-7497
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-27
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program