Provider Demographics
NPI:1629378237
Name:CHO, JEONG HYE (RPH)
Entity Type:Individual
Prefix:
First Name:JEONG HYE
Middle Name:
Last Name:CHO
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 1:1207 S 320TH ST
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-5339
Mailing Address - Country:US
Mailing Address - Phone:253-946-1505
Mailing Address - Fax:253-946-1388
Practice Address - Street 1:1207 S 320TH ST
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-5339
Practice Address - Country:US
Practice Address - Phone:253-946-1505
Practice Address - Fax:253-946-1388
Is Sole Proprietor?:No
Enumeration Date:2010-10-28
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00066234183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist