MEDICARE: JOSHUA CHOI

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
1	183500000X	Pharmacist	55264	TX
2	183500000X	Pharmacist	76581	CA

General Provider Information

NPI Number	:	1225541998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA CHOI

Provider Business Mailing Address
First Line	:	510 DOMINION DR
Second Line	:
City	:	EULESS
State	:	TX
Zip	:	76039-1128
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8150 N CENTRAL EXPY STE 300
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75206-1858
Country	:	US
Telephone Number	:	469-800-8351
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2017
Last Update Date	:	11/15/2017

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Directions to “ JOSHUA CHOI ” Practice Location

Language	Start Address	Practice Location

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