Provider Demographics
NPI:1205155694
Name:HO, VANESSA M (BSC IN PHARMACY)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:M
Last Name:HO
Suffix:
Gender:F
Credentials:BSC IN PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2025 LAUREL CANYON CT
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-5974
Mailing Address - Country:US
Mailing Address - Phone:510-651-3689
Mailing Address - Fax:
Practice Address - Street 1:1650 DECOTO RD
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587-3544
Practice Address - Country:US
Practice Address - Phone:510-429-0195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-24
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH48544183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist