Provider Demographics
NPI:1144605049
Name:CHUANG, CHIH TIEN (PHARMD)
Entity type:Individual
Prefix:
First Name:CHIH TIEN
Middle Name:
Last Name:CHUANG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 SAINT JAMES AVE STE 1
Mailing Address - Street 2:CVS PHARMACY
Mailing Address - City:GOOSE CREEK
Mailing Address - State:SC
Mailing Address - Zip Code:29445-2768
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:431 SAINT JAMES AVE STE 1
Practice Address - Street 2:CVS PHARMACY
Practice Address - City:GOOSE CREEK
Practice Address - State:SC
Practice Address - Zip Code:29445-2768
Practice Address - Country:US
Practice Address - Phone:843-572-2606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-21
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC35916183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist