Provider Demographics
NPI:1477881340
Name:HO, HOWARD K (RPH)
Entity type:Individual
Prefix:
First Name:HOWARD
Middle Name:K
Last Name:HO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1908 AVENUE U
Mailing Address - Street 2:(STORE FRONT)
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-3906
Mailing Address - Country:US
Mailing Address - Phone:718-368-1190
Mailing Address - Fax:
Practice Address - Street 1:1908 AVENUE U
Practice Address - Street 2:(STORE FRONT)
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-3906
Practice Address - Country:US
Practice Address - Phone:718-368-1190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-03
Last Update Date:2009-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041534183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist