MEDICARE: SI CHENG LEI

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	PH997080	MA

General Provider Information

NPI Number	:	1982474607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SI CHENG LEI

Provider Business Mailing Address
First Line	:	25 PLAZA WAY APT 1207
Second Line	:
City	:	PLYMOUTH
State	:	MA
Zip	:	02360-7873
Country	:	US
Telephone Number	:	857-930-0933
Fax Number	:

Provider Business Practice Location Address
First Line	:	6 POST OFFICE SQ
Second Line	:
City	:	HARWICH PORT
State	:	MA
Zip	:	02646-1822
Country	:	US
Telephone Number	:	508-430-0660
Fax Number	:

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

Provider Enumeration Date	:	01/03/2024
Last Update Date	:	01/03/2024

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Directions to “ SI CHENG LEI ” Practice Location

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