Provider Demographics
NPI:1437425758
Name:HUYNH, SAMANTHA NGOC (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:SAMANTHA
Middle Name:NGOC
Last Name:HUYNH
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 CAMELIA DR
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-5344
Mailing Address - Country:US
Mailing Address - Phone:626-308-1996
Mailing Address - Fax:
Practice Address - Street 1:13111 PEYTON DR
Practice Address - Street 2:
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709-6002
Practice Address - Country:US
Practice Address - Phone:909-464-2900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-30
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57697183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist