Individual
AGATA HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1550 GATEWAY BLVD, FAIRFIELD, CA 94533-6901
(707) 427-4000
Mailing address
14361 PACIFIC AVE, WESTMINSTER, CA 92683-4423
(714) 464-9336
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
87179
CA
Other
Enumeration date
11/16/2022
Last updated
03/16/2026
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