Provider Demographics
NPI:1023358553
Name:CHENG, LUCIAN T (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:LUCIAN
Middle Name:T
Last Name:CHENG
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 1:1800 HARRISON ST FL 13
Mailing Address - Street 2:REGIONAL PHARMACY OPERATIONS, NORTHERN CALIFORNIA
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-3466
Mailing Address - Country:US
Mailing Address - Phone:510-625-3836
Mailing Address - Fax:
Practice Address - Street 1:1800 HARRISON ST FL 13
Practice Address - Street 2:REGIONAL PHARMACY OPERATIONS, NCAL KAISER PERMANENTE
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-3466
Practice Address - Country:US
Practice Address - Phone:510-625-3836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-20
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 35448183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist