Provider Demographics
NPI:1689974172
Name:GU, CHENQING (PHARM D RPH)
Entity Type:Individual
Prefix:MS
First Name:CHENQING
Middle Name:
Last Name:GU
Suffix:
Gender:F
Credentials:PHARM D RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27095 MCBEAN PKWY
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-5145
Mailing Address - Country:US
Mailing Address - Phone:661-286-2513
Mailing Address - Fax:
Practice Address - Street 1:27095 MCBEAN PKWY
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91355-5145
Practice Address - Country:US
Practice Address - Phone:661-286-2513
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-29
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA62209183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist