Provider Demographics
NPI:1295935450
Name:CHOI, ELISA JIHYUN (PHARM D)
Entity type:Individual
Prefix:DR
First Name:ELISA
Middle Name:JIHYUN
Last Name:CHOI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1326 WEYMOUTH LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28270-9770
Mailing Address - Country:US
Mailing Address - Phone:704-877-9642
Mailing Address - Fax:
Practice Address - Street 1:7323 E INDEPENDENCE BLVD
Practice Address - Street 2:UNIT F4-F5
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28227-9401
Practice Address - Country:US
Practice Address - Phone:704-531-2626
Practice Address - Fax:704-531-2161
Is Sole Proprietor?:No
Enumeration Date:2007-07-24
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17816183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist