MEDICARE: KANG 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	19463	CO

General Provider Information

NPI Number	:	1700393105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KANG HO

Provider Business Mailing Address
First Line	:	363 S HARLAN ST STE 105
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80226-3552
Country	:	US
Telephone Number	:	303-339-0868
Fax Number	:

Provider Business Practice Location Address
First Line	:	393 S HARLAN ST STE 100
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80226-3569
Country	:	US
Telephone Number	:	303-339-0868
Fax Number	:

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

Provider Enumeration Date	:	01/08/2018
Last Update Date	:	01/15/2026

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Directions to “ KANG HO ” Practice Location

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