Provider Demographics
NPI:1285964502
Name:CHOI, ELAINE (PHARM D)
Entity type:Individual
Prefix:DR
First Name:ELAINE
Middle Name:
Last Name:CHOI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12911 50TH PL W
Mailing Address - Street 2:
Mailing Address - City:MUKILTEO
Mailing Address - State:WA
Mailing Address - Zip Code:98275-5819
Mailing Address - Country:US
Mailing Address - Phone:206-383-7668
Mailing Address - Fax:
Practice Address - Street 1:16423 LARCH WAY
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98037-8108
Practice Address - Country:US
Practice Address - Phone:425-741-8283
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-08
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00065801183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist