Provider Demographics
NPI:1538402391
Name:HWANG, SOON CHUL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SOON
Middle Name:CHUL
Last Name:HWANG
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:SOONCHUL
Other - Middle Name:
Other - Last Name:HWANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:16416 NORTHERN BLVD
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-2647
Mailing Address - Country:US
Mailing Address - Phone:718-445-2470
Mailing Address - Fax:718-445-3748
Practice Address - Street 1:16416 NORTHERN BLVD
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358-2647
Practice Address - Country:US
Practice Address - Phone:718-445-2470
Practice Address - Fax:718-445-3748
Is Sole Proprietor?:No
Enumeration Date:2013-03-30
Last Update Date:2013-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYI056619183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist