Provider Demographics
NPI:1225274293
Name:HO, JEN-CHUN (RPH)
Entity Type:Individual
Prefix:MR
First Name:JEN-CHUN
Middle Name:
Last Name:HO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 ROSCOMMON CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-8203
Mailing Address - Country:US
Mailing Address - Phone:407-249-4143
Mailing Address - Fax:
Practice Address - Street 1:221 ROSCOMMON CT
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-8203
Practice Address - Country:US
Practice Address - Phone:407-249-4143
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-22
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS42218183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist