Individual
THIET HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 FAYETTEVILLE RD, VAN BUREN, AR 72956-2230
(479) 474-8859
Mailing address
2319 DURANGO DR, VAN BUREN, AR 72956-6643
(479) 462-3979
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD14759
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
N/A
—
Enumeration date
08/21/2020
Last updated
08/21/2020
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