Provider Demographics
NPI:1235502709
Name:HUEY, VICTORIA CHAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:CHAN
Last Name:HUEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:OI YING
Other - Last Name:CHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4600 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:ALAMO HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:78209-6214
Mailing Address - Country:US
Mailing Address - Phone:210-824-1679
Mailing Address - Fax:210-764-4180
Practice Address - Street 1:4600 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:ALAMO HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:78209-6214
Practice Address - Country:US
Practice Address - Phone:210-824-1679
Practice Address - Fax:210-764-4180
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-05
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA64596183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist