Healthcare Provider Details

I. General information

NPI: 1326964230
Provider Name (Legal Business Name): ANGELA CHEUNG PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

154 E MYRTLE AVE STE 101
MURRAY UT
84107-4850
US

IV. Provider business mailing address

154 E MYRTLE AVE STE 101
MURRAY UT
84107-4850
US

V. Phone/Fax

Practice location:
  • Phone: 801-904-0199
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number7895413-1701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: