Provider Demographics
NPI:1740519503
Name:NGO, CAROLINE (PHARMD, MS)
Entity type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:
Last Name:NGO
Suffix:
Gender:F
Credentials:PHARMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 SEAWALL BLVD
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77550-5522
Mailing Address - Country:US
Mailing Address - Phone:409-763-3588
Mailing Address - Fax:
Practice Address - Street 1:308 SEAWALL BLVD
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77550-5522
Practice Address - Country:US
Practice Address - Phone:409-763-3588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-08
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41716183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist