MEDICARE: DORIS CHENG PHARM.D.

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	RPH62760	CA

General Provider Information

NPI Number	:	1952681538
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DORIS CHENG PHARM.D.

Provider Business Mailing Address
First Line	:	3300 BUENA VISTA RD BLDG A
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93311-9731
Country	:	US
Telephone Number	:	661-665-9109
Fax Number	:

Provider Business Practice Location Address
First Line	:	3300 BUENA VISTA RD BLDG A
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93311-9731
Country	:	US
Telephone Number	:	661-665-9109
Fax Number	:

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

Provider Enumeration Date	:	08/26/2011
Last Update Date	:	08/26/2011

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