Provider Demographics
NPI:1326327271
Name:CHENG, XIAO (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:XIAO
Middle Name:
Last Name:CHENG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:177 N BARLOW RD
Mailing Address - Street 2:PHARMACY
Mailing Address - City:LINCOLN
Mailing Address - State:MI
Mailing Address - Zip Code:48742
Mailing Address - Country:US
Mailing Address - Phone:989-736-9888
Mailing Address - Fax:989-358-3777
Practice Address - Street 1:177 N BARLOW RD
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:MI
Practice Address - Zip Code:48742
Practice Address - Country:US
Practice Address - Phone:989-736-9888
Practice Address - Fax:989-358-3777
Is Sole Proprietor?:No
Enumeration Date:2011-08-10
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302040473183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist