Provider Demographics
NPI:1841886231
Name:HO, ALEX SKYTE (RPH)
Entity type:Individual
Prefix:
First Name:ALEX
Middle Name:SKYTE
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 1:1300 N HOBART ST
Mailing Address - Street 2:
Mailing Address - City:PAMPA
Mailing Address - State:TX
Mailing Address - Zip Code:79065-4122
Mailing Address - Country:US
Mailing Address - Phone:806-665-2705
Mailing Address - Fax:806-665-4524
Practice Address - Street 1:1300 N HOBART ST
Practice Address - Street 2:
Practice Address - City:PAMPA
Practice Address - State:TX
Practice Address - Zip Code:79065-4122
Practice Address - Country:US
Practice Address - Phone:806-665-2705
Practice Address - Fax:806-665-4524
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-19
Last Update Date:2020-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX645483336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy