Provider Demographics
NPI:1285985572
Name:CHO, MIN H (PHARM D)
Entity type:Individual
Prefix:DR
First Name:MIN
Middle Name:H
Last Name:CHO
Suffix:
Gender:M
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 1:79 HERRICK ST
Mailing Address - Street 2:
Mailing Address - City:EAST RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07073-1135
Mailing Address - Country:US
Mailing Address - Phone:201-354-0766
Mailing Address - Fax:
Practice Address - Street 1:2 BERGEN TPKE
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD PARK
Practice Address - State:NJ
Practice Address - Zip Code:07660-2390
Practice Address - Country:US
Practice Address - Phone:866-773-2479
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-26
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY055267-1183500000X
NJ28RI03166500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist