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NPI Code Detail

MEDICARE: THAO HO

MEDICARE: THAO HO
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
1183500000XPharmacist69288CA

General Provider Information

NPI Number : 1063814853
Entity Type Code : Individual
Provider Name (Legal Business Name) : THAO HO
Provider Business Mailing Address
First Line : 1158 W MAIN ST
Second Line :
City : MERCED
State : CA
Zip : 95340-4523
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1158 W MAIN ST
Second Line :
City : MERCED
State : CA
Zip : 95340-4523
Country : US
Telephone Number : 209-383-2404
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2014
Last Update Date : 09/23/2014

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Directions to “ THAO HO ” Practice Location

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