Provider Demographics
NPI:1922603661
Name:CHEUNG, PHILIP (RPH)
Entity Type:Individual
Prefix:MR
First Name:PHILIP
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 1:2680 N HIGH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1121
Mailing Address - Country:US
Mailing Address - Phone:614-267-5607
Mailing Address - Fax:614-267-4536
Practice Address - Street 1:2680 N HIGH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43202-1121
Practice Address - Country:US
Practice Address - Phone:614-267-5607
Practice Address - Fax:614-267-4536
Is Sole Proprietor?:No
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03120783183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist