MEDICARE: AUSTIN CHEUNG PHARMD

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	183500000X	Pharmacist	069034	NY

General Provider Information

NPI Number	:	1750013132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUSTIN CHEUNG PHARMD

Provider Business Mailing Address
First Line	:	150 E FAYETTE ST APT 311
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13202-1642
Country	:	US
Telephone Number	:	929-372-4367
Fax Number	:

Provider Business Practice Location Address
First Line	:	5380 W TAFT RD
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13212-3766
Country	:	US
Telephone Number	:	315-458-8555
Fax Number	:

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

Provider Enumeration Date	:	06/25/2022
Last Update Date	:	06/25/2022

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Directions to “ AUSTIN CHEUNG PHARMD” Practice Location

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