Provider Demographics
NPI:1922413137
Name:SHAO, GUO HOWE (PHARMD)
Entity Type:Individual
Prefix:
First Name:GUO HOWE
Middle Name:
Last Name:SHAO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:JOEY
Other - Middle Name:
Other - Last Name:SHAO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2708 WILLIAMSBURG RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23231-2033
Mailing Address - Country:US
Mailing Address - Phone:804-222-2705
Mailing Address - Fax:
Practice Address - Street 1:2708 WILLIAMSBURG RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23231-2033
Practice Address - Country:US
Practice Address - Phone:804-222-2705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-25
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202212526183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist