MEDICARE: TRAMY 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	67440	CA
2	183500000X	Pharmacist	22888	NC

General Provider Information

NPI Number	:	1841608361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRAMY HO

Provider Business Mailing Address
First Line	:	10355 WICKLOW WAY
Second Line	:
City	:	JACKSON
State	:	CA
Zip	:	95642-9324
Country	:	US
Telephone Number	:	209-223-5193
Fax Number	:

Provider Business Practice Location Address
First Line	:	9196 LAGUNA CENTER CIR
Second Line	:
City	:	ELK GROVE
State	:	CA
Zip	:	95758-7311
Country	:	US
Telephone Number	:	916-691-3526
Fax Number	:

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

Provider Enumeration Date	:	07/28/2014
Last Update Date	:	07/28/2014

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Directions to “ TRAMY HO ” Practice Location

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