Healthcare Provider Details

I. General information

NPI: 1093406902
Provider Name (Legal Business Name): SCARLETT HA HUYNH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HA HUYNH

II. Dates (important events)

Enumeration Date: 05/19/2023
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6807 EVERGREEN WAY
EVERETT WA
98203-5145
US

IV. Provider business mailing address

6817 208TH ST SW # 553
LYNNWOOD WA
98036-5800
US

V. Phone/Fax

Practice location:
  • Phone: 425-438-9380
  • Fax:
Mailing address:
  • Phone: 608-572-8240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH70001395
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: