Provider Demographics
NPI:1013245711
Name:PHAM-HUYNH, LINDA T (RPH)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:T
Last Name:PHAM-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 1:1307 FM 1092 RD
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-1504
Mailing Address - Country:US
Mailing Address - Phone:281-499-5150
Mailing Address - Fax:281-261-3082
Practice Address - Street 1:1307 FM 1092 RD
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-1504
Practice Address - Country:US
Practice Address - Phone:281-499-5150
Practice Address - Fax:281-261-3082
Is Sole Proprietor?:No
Enumeration Date:2009-11-18
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29541183500000X
CA41538183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist