Individual
TOMMY HO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5864 W MEXICO AVE, LAKEWOOD, CO 80232-7044
(720) 934-5697
Mailing address
5864 W MEXICO AVE, LAKEWOOD, CO 80232-7044
(720) 934-5697
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0023268
CO
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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