MEDICARE: KHANG 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	42782	SC

General Provider Information

NPI Number	:	1922688803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KHANG HO

Provider Business Mailing Address
First Line	:	209 RAES CREEK DR
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29609-1950
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5312 CALHOUN MEMORIAL HWY
Second Line	:
City	:	EASLEY
State	:	SC
Zip	:	29640-3866
Country	:	US
Telephone Number	:	864-855-2925
Fax Number	:

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

Provider Enumeration Date	:	04/13/2021
Last Update Date	:	04/13/2021

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Directions to “ KHANG HO ” Practice Location

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