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NPI Code Detail

MEDICARE: JIMMY HUYNH

MEDICARE:   JIMMY  HUYNH
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
1183500000XPharmacist35279TX

General Provider Information

NPI Number : 1255939781
Entity Type Code : Individual
Provider Name (Legal Business Name) : JIMMY HUYNH
Provider Business Mailing Address
First Line : 4508 BRECKINRIDGE BLVD
Second Line :
City : RICHARDSON
State : TX
Zip : 75082-3859
Country : US
Telephone Number : 214-771-8513
Fax Number :
Provider Business Practice Location Address
First Line : 10677 E NORTHWEST HWY
Second Line :
City : DALLAS
State : TX
Zip : 75238-4812
Country : US
Telephone Number : 214-553-0997
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2020
Last Update Date : 10/16/2020

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Directions to “ JIMMY HUYNH ” Practice Location

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