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NPI Code Detail

MEDICARE: QUANG NHAT HO PHARM.D

MEDICARE: QUANG NHAT HO PHARM.D
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
1183500000XPharmacistS023188AZ

General Provider Information

NPI Number : 1952883738
Entity Type Code : Individual
Provider Name (Legal Business Name) : QUANG NHAT HO PHARM.D
Provider Business Mailing Address
First Line : 13547 W REMUDA DR
Second Line :
City : PEORIA
State : AZ
Zip : 85383-8305
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4275 W THOMAS RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85019-4334
Country : US
Telephone Number : 602-272-5601
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2018
Last Update Date : 08/29/2018

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Directions to “ QUANG NHAT HO PHARM.D” Practice Location

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