Provider Demographics
NPI:1033357090
Name:HUYNH, DANH THANH (PHARM D)
Entity Type:Individual
Prefix:
First Name:DANH
Middle Name:THANH
Last Name:HUYNH
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:H100 SANTA MARGARITA RD
Mailing Address - Street 2:ATTENTION: CODE 094 NAVAL HOSPITAL, CAMP PENDLETON
Mailing Address - City:CAMP PENDLETON
Mailing Address - State:CA
Mailing Address - Zip Code:92055-5191
Mailing Address - Country:US
Mailing Address - Phone:760-725-8882
Mailing Address - Fax:760-725-1267
Practice Address - Street 1:H100 SANTA MARGARITA RD
Practice Address - Street 2:ATTENTION: CODE 094 NAVAL HOSPITAL, CAMP PENDLETON
Practice Address - City:CAMP PENDLETON
Practice Address - State:CA
Practice Address - Zip Code:92055-5191
Practice Address - Country:US
Practice Address - Phone:760-725-8882
Practice Address - Fax:760-725-1267
Is Sole Proprietor?:No
Enumeration Date:2009-01-29
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53401183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist