Healthcare Provider Details

I. General information

NPI: 1285440420
Provider Name (Legal Business Name): CHARLES CHOE PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2024
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3570 HARTSEL DR
COLORADO SPRINGS CO
80920-4165
US

IV. Provider business mailing address

PO BOX 1390
PARKER CO
80134-1400
US

V. Phone/Fax

Practice location:
  • Phone: 719-590-7515
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHA.0024875
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: