Healthcare Provider Details

I. General information

NPI: 1487516704
Provider Name (Legal Business Name): SOOCHUNG CAROLYN OH PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/25/2025
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

603 N WILMOT RD # 151
TUCSON AZ
85711-2701
US

IV. Provider business mailing address

9037 N 28TH ST
PHOENIX AZ
85028-4702
US

V. Phone/Fax

Practice location:
  • Phone: 520-324-2535
  • Fax:
Mailing address:
  • Phone: 520-324-2535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208U00000X
TaxonomyClinical Pharmacology Physician
License NumberS017816
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: