Provider Demographics
NPI:1023337078
Name:CHOI, JI-IN (RPH)
Entity type:Individual
Prefix:
First Name:JI-IN
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 1:1900 DEPTFORD CENTER RD
Mailing Address - Street 2:
Mailing Address - City:DEPTFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08096-5624
Mailing Address - Country:US
Mailing Address - Phone:856-401-8493
Mailing Address - Fax:856-401-8493
Practice Address - Street 1:1900 DEPTFORD CENTER RD
Practice Address - Street 2:
Practice Address - City:DEPTFORD
Practice Address - State:NJ
Practice Address - Zip Code:08096-5624
Practice Address - Country:US
Practice Address - Phone:856-401-8493
Practice Address - Fax:856-401-8493
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-28
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02484300183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist