Provider Demographics
NPI:1932955044
Name:HUYNH PHARMACY INC
Entity type:Organization
Organization Name:HUYNH PHARMACY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PIC / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUYNH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-208-9458
Mailing Address - Street 1:8102 WESTMINSTER BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-3363
Mailing Address - Country:US
Mailing Address - Phone:949-208-9458
Mailing Address - Fax:949-208-9457
Practice Address - Street 1:8102 WESTMINSTER BLVD STE C
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-3363
Practice Address - Country:US
Practice Address - Phone:949-208-9458
Practice Address - Fax:949-208-9457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-29
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy