Provider Demographics
NPI:1033403290
Name:CHOONG, SHWU YNG (RPH)
Entity Type:Individual
Prefix:MS
First Name:SHWU
Middle Name:YNG
Last Name:CHOONG
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 1:4575 W 11TH AVE
Mailing Address - Street 2:T-1405
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-5442
Mailing Address - Country:US
Mailing Address - Phone:541-684-4589
Mailing Address - Fax:541-684-4589
Practice Address - Street 1:4575 W 11TH AVE
Practice Address - Street 2:T-1405
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97402-5442
Practice Address - Country:US
Practice Address - Phone:541-684-4589
Practice Address - Fax:541-684-4589
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-06
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH0008374183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist