Provider Demographics
NPI:1962718015
Name:HUYNH, TAMMY MINH (RPH)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:MINH
Last Name:HUYNH
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:649 LAZARO LN
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93035-1280
Mailing Address - Country:US
Mailing Address - Phone:805-985-0818
Mailing Address - Fax:805-983-7402
Practice Address - Street 1:720 N VENTURA RD
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-4413
Practice Address - Country:US
Practice Address - Phone:805-983-1097
Practice Address - Fax:805-983-7402
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-27
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58006183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist