Provider Demographics
NPI:1760261804
Name:CHEUNG, HENRY (RPH)
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:
Last Name:CHEUNG
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 CALVARESE DR
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-6008
Mailing Address - Country:US
Mailing Address - Phone:302-252-8365
Mailing Address - Fax:
Practice Address - Street 1:15 UNIVERSITY PLZ
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-1549
Practice Address - Country:US
Practice Address - Phone:302-737-6400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-27
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0015939183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist