MEDICARE: JENNIFER HO PHARMD,RPH

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	PH238243	MA

General Provider Information

NPI Number	:	1194320853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER HO PHARMD,RPH

Provider Business Mailing Address
First Line	:	468 BLUE HILL AVE
Second Line	:
City	:	DORCHESTER
State	:	MA
Zip	:	02121-4308
Country	:	US
Telephone Number	:	617-427-7806
Fax Number	:

Provider Business Practice Location Address
First Line	:	468 BLUE HILL AVE
Second Line	:
City	:	DORCHESTER
State	:	MA
Zip	:	02121-4308
Country	:	US
Telephone Number	:	617-427-7806
Fax Number	:	617-427-7828

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

Provider Enumeration Date	:	12/01/2020
Last Update Date	:	04/29/2021

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