Healthcare Provider Details

I. General information

NPI: 1467963678
Provider Name (Legal Business Name): SEOUNGEUN CHOI RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2017
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 ROUTE 70 E
CHERRY HILL NJ
08003-2301
US

IV. Provider business mailing address

1720 ROUTE 70 E
CHERRY HILL NJ
08003-2301
US

V. Phone/Fax

Practice location:
  • Phone: 908-481-0147
  • Fax: 908-481-0159
Mailing address:
  • Phone: 908-481-0147
  • Fax: 908-481-0159

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP456329
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RJ17145
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: