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NPI Code Detail

MEDICARE: DR. DYLAN CAIN HUFF PHARM.D.

MEDICARE: DR. DYLAN CAIN HUFF PHARM.D.
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
1183500000XPharmacist62663TX

General Provider Information

NPI Number : 1073009346
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DYLAN CAIN HUFF PHARM.D.
Provider Business Mailing Address
First Line : 16559 CALUMET TRL
Second Line :
City : COLLEGE STATION
State : TX
Zip : 77845-8215
Country : US
Telephone Number : 979-229-3302
Fax Number :
Provider Business Practice Location Address
First Line : 2508 S DAY ST
Second Line :
City : BRENHAM
State : TX
Zip : 77833-5521
Country : US
Telephone Number : 979-277-0906
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2018
Last Update Date : 07/10/2018

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