Provider Demographics
NPI:1790153211
Name:HO, CHEUK KONG (PHARMD)
Entity Type:Individual
Prefix:
First Name:CHEUK KONG
Middle Name:
Last Name:HO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1131 KUALA ST
Mailing Address - Street 2:PHARMACY
Mailing Address - City:PEARL CITY
Mailing Address - State:HI
Mailing Address - Zip Code:96782-2886
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1131 KUALA ST
Practice Address - Street 2:PHARMACY
Practice Address - City:PEARL CITY
Practice Address - State:HI
Practice Address - Zip Code:96782-2886
Practice Address - Country:US
Practice Address - Phone:808-454-8792
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-15
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI3893183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist