Provider Demographics
NPI:1386370658
Name:TO, BAO QUOC (PHARMACIST)
Entity type:Individual
Prefix:
First Name:BAO
Middle Name:QUOC
Last Name:TO
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12100 VETERANS MEMORIAL DR STE E
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77067-1126
Mailing Address - Country:US
Mailing Address - Phone:281-397-7711
Mailing Address - Fax:281-397-7712
Practice Address - Street 1:12100 VETERANS MEMORIAL DR STE E
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77067-1126
Practice Address - Country:US
Practice Address - Phone:281-397-7711
Practice Address - Fax:281-397-7712
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-28
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41295183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist