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NPI Code Detail

MEDICARE: CRYSTAL CHOI PHARM D

MEDICARE: CRYSTAL CHOI PHARM D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist63926CA

General Provider Information

NPI Number : 1023395076
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRYSTAL CHOI PHARM D
Provider Business Mailing Address
First Line : 3382 CASTRO VALLEY BLVD
Second Line :
City : CASTRO VALLEY
State : CA
Zip : 94546-5623
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3382 CASTRO VALLEY BLVD
Second Line :
City : CASTRO VALLEY
State : CA
Zip : 94546-5623
Country : US
Telephone Number : 510-537-0072
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2011
Last Update Date : 11/04/2011

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Directions to “ CRYSTAL CHOI PHARM D” Practice Location

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