Provider Demographics
NPI:1962513838
Name:HUANG, VICKY C (PHARMD)
Entity type:Individual
Prefix:MISS
First Name:VICKY
Middle Name:C
Last Name:HUANG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1112 M ST NW
Mailing Address - Street 2:APT 1004
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-4310
Mailing Address - Country:US
Mailing Address - Phone:415-412-8749
Mailing Address - Fax:
Practice Address - Street 1:1112 M ST NW
Practice Address - Street 2:APT 1004
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-4310
Practice Address - Country:US
Practice Address - Phone:415-412-8749
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048854183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist