Provider Demographics
NPI:1801437264
Name:CHOI, ROBERT SUNG (PHARMD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:SUNG
Last Name:CHOI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3510 N CRAYCROFT RD APT 3209
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-7266
Mailing Address - Country:US
Mailing Address - Phone:773-896-5816
Mailing Address - Fax:
Practice Address - Street 1:2140 W GRANT RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745-1142
Practice Address - Country:US
Practice Address - Phone:520-792-0083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-07
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS024308183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist