Provider Demographics
NPI:1861858573
Name:CHO, ANNA ARA (PHARMD)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:ARA
Last Name:CHO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:361 AVENIDA SANTA DOROTEA
Mailing Address - Street 2:
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-7612
Mailing Address - Country:US
Mailing Address - Phone:714-904-6079
Mailing Address - Fax:
Practice Address - Street 1:361 AVENIDA SANTA DOROTEA
Practice Address - Street 2:
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-7612
Practice Address - Country:US
Practice Address - Phone:714-904-6079
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-11
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA73341183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist