Provider Demographics
NPI:1013456102
Name:HO, BRANDON H (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:H
Last Name:HO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:1011 BALDWIN PARK BLVD # 2ND
Mailing Address - Street 2:2ND FL OUTPATIENT PHARMACY
Mailing Address - City:BALDWIN PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91706-5806
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1011 BALDWIN PARK BLVD # 2ND
Practice Address - Street 2:2ND FL OUTPATIENT PHARMACY
Practice Address - City:BALDWIN PARK
Practice Address - State:CA
Practice Address - Zip Code:91706-5806
Practice Address - Country:US
Practice Address - Phone:626-851-6041
Practice Address - Fax:626-851-6015
Is Sole Proprietor?:No
Enumeration Date:2017-02-22
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA55337183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist