Healthcare Provider Details

I. General information

NPI: 1194077883
Provider Name (Legal Business Name): RICHARD HUYNH PHARM.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2012
Last Update Date: 08/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2737 W CECIL AVE
DELANO CA
93215
US

IV. Provider business mailing address

PO BOX 82451
BAKERSFIELD CA
93380-2451
US

V. Phone/Fax

Practice location:
  • Phone: 661-721-2345
  • Fax:
Mailing address:
  • Phone: 661-709-7396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number63650
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: