Provider Demographics
NPI:1447718903
Name:JHO, EUGENE (PHARMD)
Entity type:Individual
Prefix:
First Name:EUGENE
Middle Name:
Last Name:JHO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 5TH AVE APT 721
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222-2436
Mailing Address - Country:US
Mailing Address - Phone:724-799-1340
Mailing Address - Fax:
Practice Address - Street 1:301 5TH AVE APT 721
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-2436
Practice Address - Country:US
Practice Address - Phone:724-799-1340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-04
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP449446183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist