MEDICARE: VINH-HANG THI 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
1	183500000X	Pharmacist	71090	CA

General Provider Information

NPI Number	:	1295135010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VINH-HANG THI HO

Provider Business Mailing Address
First Line	:	420 S 4TH ST
Second Line	:	APT 1
City	:	SAN JOSE
State	:	CA
Zip	:	95112-5738
Country	:	US
Telephone Number	:	408-605-3960
Fax Number	:

Provider Business Practice Location Address
First Line	:	420 S 4TH ST
Second Line	:	APT 1
City	:	SAN JOSE
State	:	CA
Zip	:	95112-5738
Country	:	US
Telephone Number	:	408-605-3960
Fax Number	:

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

Provider Enumeration Date	:	08/28/2014
Last Update Date	:	08/28/2014

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Directions to “ VINH-HANG THI HO ” Practice Location

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