Provider Demographics
NPI:1336499706
Name:HO, WAIYUNG FLORENCE (RPH)
Entity Type:Individual
Prefix:
First Name:WAIYUNG
Middle Name:FLORENCE
Last Name:HO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 WELLINGTON ROAD
Mailing Address - Street 2:
Mailing Address - City:EASLEY
Mailing Address - State:SC
Mailing Address - Zip Code:29642-3140
Mailing Address - Country:US
Mailing Address - Phone:864-855-3394
Mailing Address - Fax:
Practice Address - Street 1:305 W.MAIN STREET
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:SC
Practice Address - Zip Code:29657
Practice Address - Country:US
Practice Address - Phone:864-843-2726
Practice Address - Fax:864-843-0363
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-13
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7414183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist