Provider Demographics
NPI:1477175933
Name:HUYNH, EMILY (RPH)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:HUYNH
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5340 MOUNTAIN GARLAND LN
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89081-4034
Mailing Address - Country:US
Mailing Address - Phone:916-801-8161
Mailing Address - Fax:
Practice Address - Street 1:1670 MITCHELL RD
Practice Address - Street 2:
Practice Address - City:CERES
Practice Address - State:CA
Practice Address - Zip Code:95307-2145
Practice Address - Country:US
Practice Address - Phone:209-541-0471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-07
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV20507183500000X
CA82139183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist