Provider Demographics
NPI:1437514049
Name:MARING, NGOCBOI (RPH)
Entity Type:Individual
Prefix:
First Name:NGOCBOI
Middle Name:
Last Name:MARING
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 1:12892 W LOUISIANA AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-3500
Mailing Address - Country:US
Mailing Address - Phone:720-233-1443
Mailing Address - Fax:
Practice Address - Street 1:12892 W LOUISIANA AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-3500
Practice Address - Country:US
Practice Address - Phone:720-233-1443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-24
Last Update Date:2015-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO19066183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist