Individual ProviderJonathan Heechul JuPharmacistPharmacy Service ProvidersPractice Address62 Water St, Brooklyn, NY 11201-1129(347) 689-2007PECOS EnrollmentBased on the most recent information from CMS, provider Jonathan Heechul Ju does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1548825052Provider TypeIndividualFull NameJu, Jonathan HeechulCredentialPHARMDGenderMaleSole ProprietorNoEnumeration Date5/9/2019Last Updated5/9/2019Contact InformationPractice LocationPractice Address62 Water St, Brooklyn, NY 11201-1129Phone(347) 689-2007FaxUnlisted FaxMailing LocationMailing Address462 Pearl St, Oceanside, NY 11572-1931PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense064906New York