Provider Demographics
NPI:1386973022
Name:HUYNH, KIEUCHINH THI (PHARMACIST)
Entity type:Individual
Prefix:MRS
First Name:KIEUCHINH
Middle Name:THI
Last Name:HUYNH
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:MS
Other - First Name:KIEUCHINH
Other - Middle Name:THI
Other - Last Name:TRAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMACIST
Mailing Address - Street 1:6503 FELICIA OAKS TRL
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-5180
Mailing Address - Country:US
Mailing Address - Phone:281-970-0692
Mailing Address - Fax:
Practice Address - Street 1:5003 FM 1960 RD W
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-4502
Practice Address - Country:US
Practice Address - Phone:281-440-1604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-09
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39601183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist