Provider Demographics
NPI:1306247895
Name:HUYNH, BINH CAM
Entity type:Individual
Prefix:
First Name:BINH
Middle Name:CAM
Last Name:HUYNH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10203 EBB TIDE LN
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-5870
Mailing Address - Country:US
Mailing Address - Phone:301-725-8716
Mailing Address - Fax:
Practice Address - Street 1:10141 COLESVILLE RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-2457
Practice Address - Country:US
Practice Address - Phone:301-593-5252
Practice Address - Fax:301-593-7185
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-15
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13902183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist