Individual
CHUNG CHENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1036 US HIGHWAY 211 W, LURAY, VA 22835-5245
(540) 743-1701
Mailing address
25611 S VILLAGE DR, SOUTH RIDING, VA 20152-6339
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202207055
VA
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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