Provider Demographics
NPI:1750819280
Name:HO, CATHY NGUYEN (PHARM D)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:NGUYEN
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 1:1718 E LINCOLN RD APT I356
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99217-7771
Mailing Address - Country:US
Mailing Address - Phone:408-382-9720
Mailing Address - Fax:
Practice Address - Street 1:1443 N ARGONNE RD
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99212-2685
Practice Address - Country:US
Practice Address - Phone:509-928-3227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-29
Last Update Date:2017-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60663033183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA60663033OtherWASHINGTON STATE DEPARTMENT OF HEALTH PHARMACIST LICENSE