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NPI Code Detail

MEDICARE: DR. DELINNA DIEU HUYNH RPH

MEDICARE: DR. DELINNA DIEU HUYNH RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist80511CA

General Provider Information

NPI Number : 1063067239
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DELINNA DIEU HUYNH RPH
Provider Business Mailing Address
First Line : 15562 CRANBROOK ST
Second Line :
City : SAN LEANDRO
State : CA
Zip : 94579-2217
Country : US
Telephone Number : 510-936-4279
Fax Number :
Provider Business Practice Location Address
First Line : 43950 PACIFIC COMMONS BLVD
Second Line :
City : FREMONT
State : CA
Zip : 94538-3803
Country : US
Telephone Number : 510-771-1617
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2019
Last Update Date : 08/05/2019

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