Provider Demographics
NPI:1033896071
Name:QUYNH'S PHARMACY INC
Entity Type:Organization
Organization Name:QUYNH'S PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:THANH
Authorized Official - Middle Name:D
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:206-351-5414
Mailing Address - Street 1:11902 83RD AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98178-3874
Mailing Address - Country:US
Mailing Address - Phone:206-323-6003
Mailing Address - Fax:206-323-6552
Practice Address - Street 1:1221 S MAIN ST STE 103
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-2089
Practice Address - Country:US
Practice Address - Phone:206-323-6003
Practice Address - Fax:206-323-6552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-30
Last Update Date:2023-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy