Healthcare Provider Details

I. General information

NPI: 1104243310
Provider Name (Legal Business Name): DUNG H CHOI PHARM. D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2014
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 N RAMPART BLVD
LAS VEGAS NV
89128-7640
US

IV. Provider business mailing address

10478 EMERALD RYE ST
LAS VEGAS NV
89183-4309
US

V. Phone/Fax

Practice location:
  • Phone: 702-256-1984
  • Fax:
Mailing address:
  • Phone: 253-753-5086
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH60402632
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: