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NPI Code Detail

MEDICARE: HO KIM THU PC

MEDICARE: HO KIM THU PC
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
13336L0003XLong Term Care Pharmacy
23336S0011XSpecialty Pharmacy
3333600000XPharmacy
43336C0003XCommunity/Retail PharmacyY006461AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12153091OTHERPK

General Provider Information

NPI Number : 1609256817
Entity Type Code : Organization
Provider Name (Legal Business Name) : HO KIM THU PC
Provider Business Mailing Address
First Line : 5523 E GRANT RD
Second Line :
City : TUCSON
State : AZ
Zip : 85712-2209
Country : US
Telephone Number : 520-298-9038
Fax Number : 520-298-9907
Provider Business Practice Location Address
First Line : 5523 E GRANT RD
Second Line :
City : TUCSON
State : AZ
Zip : 85712-2209
Country : US
Telephone Number : 520-298-9038
Fax Number : 520-298-9907
Authorized Official
Title or Position : OWNER, PIC, AO
Name : THU HO
Credential : PHARMD
Telephone Number : 520-298-9038
Provider Enumeration Date : 06/02/2015
Last Update Date : 07/19/2018

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85712-2209
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1255097226 — THE JOHN AND JOSEPHINE ROSE LIVING NETWORK FOUNDATION
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85712-2209
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1255098752 — THE JOHN AND JOSEPHINE ROSE LIVING NETWORK FOUNDATION
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TUCSON, AZ
85712-2209
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1770239998 — THE JOHN AND JOSEPHINE ROSE LIVING NETWORK FOUNDATION
Practice Location Address:
5541 E GRANT RD
TUCSON, AZ
85712-2209
Practice Phone: 520-704-8310
Practice Fax: 520-848-3611

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