Provider Demographics
NPI:1376858274
Name:HO, THU KIM (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:THU
Middle Name:KIM
Last Name:HO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5523 E GRANT RD
Mailing Address - Street 2:GREEN HEALTHMART PHARMACY
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712
Mailing Address - Country:US
Mailing Address - Phone:520-298-9038
Mailing Address - Fax:520-298-9907
Practice Address - Street 1:5523 E GRANT RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-2209
Practice Address - Country:US
Practice Address - Phone:520-298-9038
Practice Address - Fax:520-298-9907
Is Sole Proprietor?:No
Enumeration Date:2010-08-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS017857183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist