Provider Demographics
NPI:1336324797
Name:HO ORR, LIN (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:LIN
Middle Name:
Last Name:HO ORR
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:LIN
Other - Middle Name:
Other - Last Name:HO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMACIST
Mailing Address - Street 1:8213 37TH AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-7011
Mailing Address - Country:US
Mailing Address - Phone:718-565-1473
Mailing Address - Fax:178-565-1132
Practice Address - Street 1:8213 37TH AVE
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-7011
Practice Address - Country:US
Practice Address - Phone:718-565-1473
Practice Address - Fax:178-565-1132
Is Sole Proprietor?:No
Enumeration Date:2008-01-04
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY35878183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01622980Medicaid