NPI 1003220583

Ka Ho

Practitioner Pharmacist Diberville, MS

Practice location

Address: 12024 Lamey Bridge Rd, Diberville, MS 39540-8906
Phone: (228) 396-2858
Fax: (228) 396-2857

Registered specialties (2)

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence P12723 (MS)

Other Pharmacist providers in Mississippi →

Pharmacist

Pharmacy Service Providers Taxonomy 183500000X Licence 019914 (LA)

Registry record

NPI: 1003220583
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jun 2014
Record last updated: 12 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.