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NPI Code Detail

MEDICARE: TUNG DUC HUYNH PHARMD

MEDICARE: TUNG DUC HUYNH PHARMD
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
1183500000XPharmacistRPH60250CA

General Provider Information

NPI Number : 1417226119
Entity Type Code : Individual
Provider Name (Legal Business Name) : TUNG DUC HUYNH PHARMD
Provider Business Mailing Address
First Line : 1359 WHISPERING WIND LN
Second Line :
City : CORONA
State : CA
Zip : 92881-8664
Country : US
Telephone Number : 714-206-1779
Fax Number :
Provider Business Practice Location Address
First Line : 8917 TRAUTWEIN RD
Second Line :
City : RIVERSIDE
State : CA
Zip : 92508-9473
Country : US
Telephone Number : 951-776-0470
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2011
Last Update Date : 12/26/2011

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Directions to “ TUNG DUC HUYNH PHARMD” Practice Location

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