Provider Demographics
NPI:1083050124
Name:CHUANG, SHENGHUI (RPH)
Entity Type:Individual
Prefix:
First Name:SHENGHUI
Middle Name:
Last Name:CHUANG
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:
Other - Last Name:CHUANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:10580 COLONIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33913
Mailing Address - Country:US
Mailing Address - Phone:239-561-1640
Mailing Address - Fax:239-561-2496
Practice Address - Street 1:10580 COLONIAL BLVD
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33913
Practice Address - Country:US
Practice Address - Phone:239-561-1640
Practice Address - Fax:239-561-2496
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-16
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS36390183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist