Provider Demographics
NPI:1003236829
Name:HUYNH, MONGTRINH THI (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:MONGTRINH
Middle Name:THI
Last Name:HUYNH
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:DR
Other - First Name:TRISH
Other - Middle Name:THI
Other - Last Name:HUYNH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARM D
Mailing Address - Street 1:6530 PARK BLVD N
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781-3142
Mailing Address - Country:US
Mailing Address - Phone:727-623-0962
Mailing Address - Fax:727-329-8711
Practice Address - Street 1:6530 PARK BLVD N
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-3142
Practice Address - Country:US
Practice Address - Phone:727-623-0962
Practice Address - Fax:727-329-8711
Is Sole Proprietor?:No
Enumeration Date:2014-04-19
Last Update Date:2014-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS32865183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist