Provider Demographics
NPI:1497038442
Name:CHOCK, JESSICA MEI LING (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:MEI LING
Last Name:CHOCK
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 1:4561 SALT LAKE BLVD
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96818-3167
Mailing Address - Country:US
Mailing Address - Phone:808-486-6449
Mailing Address - Fax:
Practice Address - Street 1:4561 SALT LAKE BLVD
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96818-3167
Practice Address - Country:US
Practice Address - Phone:808-486-6449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-27
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI3075183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist