Provider Demographics
NPI:1750672192
Name:HUYNH, ETHAN THONG (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ETHAN
Middle Name:THONG
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 1:407 W VALLEY BLVD UNIT 7
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91803-3359
Mailing Address - Country:US
Mailing Address - Phone:626-386-3446
Mailing Address - Fax:888-251-2347
Practice Address - Street 1:407 W VALLEY BLVD UNIT 7
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91803-3359
Practice Address - Country:US
Practice Address - Phone:626-386-3446
Practice Address - Fax:888-251-2347
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-19
Last Update Date:2023-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA582321835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric