Provider Demographics
NPI:1033514294
Name:HUYNH, LAN NGOC (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LAN
Middle Name:NGOC
Last Name:HUYNH
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 1:7346 CUNNINGHAM ST
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:CA
Mailing Address - Zip Code:92346-5582
Mailing Address - Country:US
Mailing Address - Phone:909-838-3776
Mailing Address - Fax:
Practice Address - Street 1:7346 CUNNINGHAM ST
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:CA
Practice Address - Zip Code:92346-5582
Practice Address - Country:US
Practice Address - Phone:909-838-3776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-30
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV18894183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist