MEDICARE: AIMEE CHENG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P1200X	Pharmacotherapy Pharmacist	15196	NV

General Provider Information

NPI Number	:	1962785642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AIMEE CHENG

Provider Business Mailing Address
First Line	:	550 DUSTY PALMS LN
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-2884
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6390 BOULDER HWY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89122-7439
Country	:	US
Telephone Number	:	702-435-6263
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2011
Last Update Date	:	09/20/2011

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Directions to “ AIMEE CHENG ” Practice Location

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