Provider Demographics
NPI:1619579059
Name:HO, LINDA THIEN-KIM (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LINDA THIEN-KIM
Middle Name:
Last Name:HO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:HO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1071 SHAIN CT
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:VA
Mailing Address - Zip Code:22066-1565
Mailing Address - Country:US
Mailing Address - Phone:703-475-7834
Mailing Address - Fax:
Practice Address - Street 1:505 OAKVILLE RD
Practice Address - Street 2:
Practice Address - City:APPOMATTOX
Practice Address - State:VA
Practice Address - Zip Code:24522-8361
Practice Address - Country:US
Practice Address - Phone:434-352-6073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-11
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202219031183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist