Provider Demographics
NPI:1609094200
Name:NG, CHI WING (R PH)
Entity Type:Individual
Prefix:MR
First Name:CHI WING
Middle Name:
Last Name:NG
Suffix:
Gender:M
Credentials:R PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2056 WESTBOURNE DR
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-5155
Mailing Address - Country:US
Mailing Address - Phone:407-384-7116
Mailing Address - Fax:407-384-5649
Practice Address - Street 1:12500 LAKE UNDERHILL RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-7100
Practice Address - Country:US
Practice Address - Phone:407-384-7116
Practice Address - Fax:407-384-5649
Is Sole Proprietor?:No
Enumeration Date:2007-04-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS29906183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist