MEDICARE: DR. HOANG ANH LE 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
1	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	604432	TX
2	1835I0206X	Infectious Diseases Pharmacist	B11101457	TX
3	1835P1200X	Pharmacotherapy Pharmacist	3159714	TX

General Provider Information

NPI Number	:	1639925746
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOANG ANH LE HUYNH PHARMD

Provider Business Mailing Address
First Line	:	2332 DOLAN FALLS LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77089-1568
Country	:	US
Telephone Number	:	832-964-7358
Fax Number	:

Provider Business Practice Location Address
First Line	:	6411 FANNIN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1501
Country	:	US
Telephone Number	:	713-704-7398
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2024
Last Update Date	:	04/29/2024

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