Provider Demographics
NPI:1922527902
Name:PEH, ZHENG SHENG (PHARMD)
Entity Type:Individual
Prefix:
First Name:ZHENG SHENG
Middle Name:
Last Name:PEH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18917 NE 29TH DR
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98684-6454
Mailing Address - Country:US
Mailing Address - Phone:360-713-4271
Mailing Address - Fax:
Practice Address - Street 1:3328 NE 3RD AVE
Practice Address - Street 2:
Practice Address - City:CAMAS
Practice Address - State:WA
Practice Address - Zip Code:98607-2436
Practice Address - Country:US
Practice Address - Phone:360-835-3303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-12
Last Update Date:2017-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60758252183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist