Provider Demographics
NPI:1073009346
Name:HUFF, DYLAN CAIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DYLAN
Middle Name:CAIN
Last Name:HUFF
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16559 CALUMET TRL
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-8215
Mailing Address - Country:US
Mailing Address - Phone:979-229-3302
Mailing Address - Fax:
Practice Address - Street 1:2508 S DAY ST
Practice Address - Street 2:
Practice Address - City:BRENHAM
Practice Address - State:TX
Practice Address - Zip Code:77833-5521
Practice Address - Country:US
Practice Address - Phone:979-277-0906
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-10
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62663183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist