Provider Demographics
NPI:1861769689
Name:CHOI, YOOJIN (RPH)
Entity type:Individual
Prefix:MRS
First Name:YOOJIN
Middle Name:
Last Name:CHOI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 VILLA CT
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07648-1734
Mailing Address - Country:US
Mailing Address - Phone:201-207-1010
Mailing Address - Fax:
Practice Address - Street 1:20 W HUDSON AVE
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-1788
Practice Address - Country:US
Practice Address - Phone:201-408-1374
Practice Address - Fax:201-408-1381
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-22
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02471100183500000X
NJ28RJ00382183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist