Provider Demographics
NPI:1467098061
Name:HO, VI (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:VI
Middle Name:
Last Name:HO
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9219 N LINDBERGH DR
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61615-1425
Mailing Address - Country:US
Mailing Address - Phone:309-692-0473
Mailing Address - Fax:309-692-0583
Practice Address - Street 1:9219 N LINDBERGH DR
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61615-1425
Practice Address - Country:US
Practice Address - Phone:309-692-0473
Practice Address - Fax:309-692-0583
Is Sole Proprietor?:No
Enumeration Date:2019-11-19
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051297118183500000X
IL051.297118183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist