MEDICARE: DAVID CHOE

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	S020816	AZ

General Provider Information

NPI Number	:	1629478987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID CHOE

Provider Business Mailing Address
First Line	:	7434 W INDIAN SCHOOL RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85033-3138
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7434 W INDIAN SCHOOL RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85033-3138
Country	:	US
Telephone Number	:	623-846-5065
Fax Number	:

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

Provider Enumeration Date	:	08/23/2014
Last Update Date	:	08/23/2014

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Directions to “ DAVID CHOE ” Practice Location

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