Organization
HO KIM THU PC
Active
Other names
Green Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
THU HO PHARMD (OWNER, PIC, AO)
(520) 298-9038
Entity
Organization
Contact information
Practice address
5523 E GRANT RD, TUCSON, AZ 85712-2209
(520) 298-9038
(520) 298-9907
Mailing address
5523 E GRANT RD, TUCSON, AZ 85712-2209
(520) 298-9038
(520) 298-9907
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
Y006461
AZ
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153091
PK
—
Enumeration date
06/02/2015
Last updated
07/19/2018
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