Individual
CHENG CHUNG TSAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
72 19 N LITCHFIELD ROAD, 56 MEDICAL GROUP, LUKE AFB, AZ 85309
(623) 856-3616
Mailing address
7219 N LITCHFIELD ROAD, 56 MEDICAL GROUP, LUKE AFB, AZ 85309
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10669
AZ
Other
Enumeration date
10/28/2011
Last updated
01/03/2012
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