Healthcare Provider Details

I. General information

NPI: 1760361802
Provider Name (Legal Business Name): JULIE THANH HUYNH PHARMD
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2025
Last Update Date: 09/02/2025
Certification Date: 08/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MUIR RD
MARTINEZ CA
94553-4614
US

IV. Provider business mailing address

200 MUIR RD
MARTINEZ CA
94553-4614
US

V. Phone/Fax

Practice location:
  • Phone: 925-372-1000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number91131
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: