Provider Demographics
NPI:1386302339
Name:HUYNH, KRYSTAL TRANG (PHARMD)
Entity type:Individual
Prefix:
First Name:KRYSTAL
Middle Name:TRANG
Last Name:HUYNH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:796 CROMWELL PARK DR STE D
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-2560
Mailing Address - Country:US
Mailing Address - Phone:443-213-4000
Mailing Address - Fax:
Practice Address - Street 1:796 CROMWELL PARK DR STE D
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-2560
Practice Address - Country:US
Practice Address - Phone:443-213-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-06
Last Update Date:2025-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH240511183500000X
MD30521183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist