Provider Demographics
NPI:1730365164
Name:HUYNH, NGOC AHN T (PHARMACIST)
Entity type:Individual
Prefix:MRS
First Name:NGOC AHN
Middle Name:T
Last Name:HUYNH
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:MRS
Other - First Name:NGOC-ANH
Other - Middle Name:THI
Other - Last Name:HUYNH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMACIST
Mailing Address - Street 1:8900 BOLSA AVE
Mailing Address - Street 2:WESTMINSTER
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-5475
Mailing Address - Country:US
Mailing Address - Phone:714-894-4518
Mailing Address - Fax:714-894-2538
Practice Address - Street 1:8900 BOLSA AVE
Practice Address - Street 2:WESTMINSTER
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-5475
Practice Address - Country:US
Practice Address - Phone:714-894-4518
Practice Address - Fax:714-894-2538
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-16
Last Update Date:2008-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY398940183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist