Provider Demographics
NPI:1831754282
Name:HO, ALEXANDER YING KIT (PHARMD)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:YING KIT
Last Name:HO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37067 POPLAR ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:CA
Mailing Address - Zip Code:94560-2715
Mailing Address - Country:US
Mailing Address - Phone:510-648-9301
Mailing Address - Fax:
Practice Address - Street 1:2075 MENDOCINO AVE
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95401-3667
Practice Address - Country:US
Practice Address - Phone:707-542-4182
Practice Address - Fax:707-542-8914
Is Sole Proprietor?:No
Enumeration Date:2019-05-01
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA77522183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist