Healthcare Provider Details

I. General information

NPI: 1770194409
Provider Name (Legal Business Name): WINNIE G HO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2020
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 ILLINOIS ST # D1201
SAN FRANCISCO CA
94143-2501
US

IV. Provider business mailing address

520 ILLINOIS ST # D1201
SAN FRANCISCO CA
94143-2501
US

V. Phone/Fax

Practice location:
  • Phone: 415-514-3717
  • Fax:
Mailing address:
  • Phone: 415-514-3717
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051301448
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number79453
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: