Provider Demographics
NPI:1376831883
Name:WOO, EUJIN (RPH)
Entity type:Individual
Prefix:
First Name:EUJIN
Middle Name:
Last Name:WOO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136-89 37TH AVE
Mailing Address - Street 2:FL 1
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-4110
Mailing Address - Country:US
Mailing Address - Phone:718-321-2526
Mailing Address - Fax:
Practice Address - Street 1:136-89 37TH AVE
Practice Address - Street 2:FL 1
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-4110
Practice Address - Country:US
Practice Address - Phone:718-321-2526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-18
Last Update Date:2017-06-22
Deactivation Date:2011-11-30
Deactivation Code:
Reactivation Date:2017-06-22
Provider Licenses
StateLicense IDTaxonomies
NY051020183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist