Provider Demographics
NPI:1629499140
Name:CHENG, GLORIA KUOLIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:GLORIA
Middle Name:KUOLIN
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 1:2270 BEULAH RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-5025
Mailing Address - Country:US
Mailing Address - Phone:412-378-3889
Mailing Address - Fax:
Practice Address - Street 1:331 W FREEDOM AVE
Practice Address - Street 2:
Practice Address - City:BURNHAM
Practice Address - State:PA
Practice Address - Zip Code:17009-1859
Practice Address - Country:US
Practice Address - Phone:717-242-4478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-31
Last Update Date:2013-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP448184183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist