Provider Demographics
NPI:1083278063
Name:HO, CHRISTOPHER TRI (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:TRI
Last Name:HO
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7065 LA PALMA AVE
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90620-2424
Mailing Address - Country:US
Mailing Address - Phone:714-228-2085
Mailing Address - Fax:714-690-7653
Practice Address - Street 1:7065 LA PALMA AVE
Practice Address - Street 2:
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90620-2424
Practice Address - Country:US
Practice Address - Phone:714-228-2085
Practice Address - Fax:714-690-7653
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-25
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55450183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist