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NPI Code Detail

MEDICARE: KATRINA CHAU HUYNH

MEDICARE: KATRINA CHAU 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
1183500000XPharmacist71408TX

General Provider Information

NPI Number : 1720703564
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATRINA CHAU HUYNH
Provider Business Mailing Address
First Line : 2907 PRAIRIE OAK BLVD
Second Line :
City : GRAND PRAIRIE
State : TX
Zip : 75052-4587
Country : US
Telephone Number : 817-881-6466
Fax Number :
Provider Business Practice Location Address
First Line : 5742 E MOCKINGBIRD LN
Second Line :
City : DALLAS
State : TX
Zip : 75206-5422
Country : US
Telephone Number : 214-826-7136
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2022
Last Update Date : 10/04/2022

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Directions to “ KATRINA CHAU HUYNH ” Practice Location

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