Provider Demographics
NPI:1770866949
Name:QUACH, QUYNH HO (DOCTOR OF PHARMACY)
Entity Type:Individual
Prefix:MRS
First Name:QUYNH
Middle Name:HO
Last Name:QUACH
Suffix:
Gender:F
Credentials:DOCTOR OF PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 NEW DERBY ST
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-3637
Mailing Address - Country:US
Mailing Address - Phone:978-744-7442
Mailing Address - Fax:
Practice Address - Street 1:29 NEW DERBY ST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-3637
Practice Address - Country:US
Practice Address - Phone:978-744-7442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-23
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH27371183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist