Provider Demographics
NPI:1275208233
Name:HUYNH WELLNESS PHARMACY, LLC
Entity Type:Organization
Organization Name:HUYNH WELLNESS PHARMACY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:HUYNH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-645-4024
Mailing Address - Street 1:156 FM 1960 RD STE F
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77073-1816
Mailing Address - Country:US
Mailing Address - Phone:281-645-4024
Mailing Address - Fax:281-645-4448
Practice Address - Street 1:156 FM 1960 RD STE F
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77073-1816
Practice Address - Country:US
Practice Address - Phone:281-645-4024
Practice Address - Fax:281-645-4448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-11
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy