Provider Demographics
NPI:1992420269
Name:LEUNG, JESSICA HO-SHAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:HO-SHAN
Last Name:LEUNG
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 1:20 SUNNYSIDE ST APT 3
Mailing Address - Street 2:
Mailing Address - City:JAMAICA PLAIN
Mailing Address - State:MA
Mailing Address - Zip Code:02130-1322
Mailing Address - Country:US
Mailing Address - Phone:401-529-9891
Mailing Address - Fax:
Practice Address - Street 1:333 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02108-5177
Practice Address - Country:US
Practice Address - Phone:617-754-0783
Practice Address - Fax:617-523-3194
Is Sole Proprietor?:No
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH240633183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist