Provider Demographics
NPI:1518969484
Name:HUYNH, ANTHONY N (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:N
Last Name:HUYNH
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 1:9570 JAGUAR CT
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95757-2603
Mailing Address - Country:US
Mailing Address - Phone:916-420-5121
Mailing Address - Fax:
Practice Address - Street 1:9570 JAGUAR CT
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95757-2603
Practice Address - Country:US
Practice Address - Phone:916-420-5121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH55202183500000X
TX44927183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist