Most Relevant Information
Provider Data
NPI Number: | 1003220583 |
Provider Name: | KA HO |
Entity Type: | Individual |
Taxonomy Code: | 183500000X |
Specialty: | Pharmacist |
License Number: | P12723 |
Most Important Dates
Enumeration Date: | 06/12/2014 |
Last Updated: | 06/12/2014 |
Provider Practice Location
12024 LAMEY BRIDGE RD
DIBERVILLE
MS
395408906
Practice Location Phone/Fax
Phone: | 2283962858 |
Fax: | 2283962857 |
Provider Mailing Location
12024 LAMEY BRIDGE RD
DIBERVILLE
MS
395408906
Provider Mailing Phone/Fax
Phone: | |
Fax: |