Provider Demographics
NPI:1992199475
Name:CHO, HYUN JU (RPH)
Entity Type:Individual
Prefix:
First Name:HYUN
Middle Name:JU
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 1:1084 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07102-2320
Mailing Address - Country:US
Mailing Address - Phone:973-733-2866
Mailing Address - Fax:
Practice Address - Street 1:1084 BROAD ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-2320
Practice Address - Country:US
Practice Address - Phone:973-733-2866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-23
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03625600183500000X
NY059683183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist