Provider Demographics
NPI:1770126542
Name:CHEUNG, LAURENCE (PHARM D)
Entity type:Individual
Prefix:DR
First Name:LAURENCE
Middle Name:
Last Name:CHEUNG
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1885 N PINE ISLAND RD
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322-5208
Mailing Address - Country:US
Mailing Address - Phone:954-472-3305
Mailing Address - Fax:954-472-3390
Practice Address - Street 1:1885 N PINE ISLAND RD
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33322-5208
Practice Address - Country:US
Practice Address - Phone:954-472-3305
Practice Address - Fax:954-472-3390
Is Sole Proprietor?:No
Enumeration Date:2019-10-23
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS49814183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist