Provider Demographics
NPI:1467178046
Name:CHEN, ZHENXING (PHARMD)
Entity Type:Individual
Prefix:
First Name:ZHENXING
Middle Name:
Last Name:CHEN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:JUSTIN
Other - Middle Name:
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:245 EDGARTOWN VINEYARD HAVEN RD
Mailing Address - Street 2:
Mailing Address - City:EDGARTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02539-6948
Mailing Address - Country:US
Mailing Address - Phone:508-627-5107
Mailing Address - Fax:
Practice Address - Street 1:245 EDGARTOWN VINEYARD HAVEN RD
Practice Address - Street 2:
Practice Address - City:EDGARTOWN
Practice Address - State:MA
Practice Address - Zip Code:02539-6948
Practice Address - Country:US
Practice Address - Phone:508-627-5107
Practice Address - Fax:844-411-6348
Is Sole Proprietor?:No
Enumeration Date:2022-10-17
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH240664183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist