Provider Demographics
NPI:1952066565
Name:CHEUNG, REDMUND (PHARM D)
Entity Type:Individual
Prefix:MR
First Name:REDMUND
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 1:2565 CALABRIA CT
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-4825
Mailing Address - Country:US
Mailing Address - Phone:510-828-5189
Mailing Address - Fax:
Practice Address - Street 1:2565 CALABRIA CT
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-4825
Practice Address - Country:US
Practice Address - Phone:510-828-5189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-08
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH47349183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist