Provider Demographics
NPI:1376212803
Name:CHEUNG, JING (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JING
Middle Name:
Last Name:CHEUNG
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 1:3930 SW ARCHER RD
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-2342
Mailing Address - Country:US
Mailing Address - Phone:352-367-3342
Mailing Address - Fax:352-367-9408
Practice Address - Street 1:3930 SW ARCHER RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-2342
Practice Address - Country:US
Practice Address - Phone:352-367-3342
Practice Address - Fax:352-367-9408
Is Sole Proprietor?:No
Enumeration Date:2021-09-08
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS63110183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist