Provider Demographics
NPI:1497366371
Name:ZHENG, DAVIS (PHARMACIST)
Entity Type:Individual
Prefix:DR
First Name:DAVIS
Middle Name:
Last Name:ZHENG
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 LILIHA ST APT 11F
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-3514
Mailing Address - Country:US
Mailing Address - Phone:808-206-0046
Mailing Address - Fax:
Practice Address - Street 1:1121 S BERETANIA ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1621
Practice Address - Country:US
Practice Address - Phone:808-593-0403
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPH-4508183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist