MEDICARE: TAMMY MINH HUYNH RPH

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	183500000X	Pharmacist	58006	CA

General Provider Information

NPI Number	:	1962718015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMMY MINH HUYNH RPH

Provider Business Mailing Address
First Line	:	649 LAZARO LN
Second Line	:
City	:	OXNARD
State	:	CA
Zip	:	93035-1280
Country	:	US
Telephone Number	:	805-985-0818
Fax Number	:	805-983-7402

Provider Business Practice Location Address
First Line	:	720 N VENTURA RD
Second Line	:
City	:	OXNARD
State	:	CA
Zip	:	93030-4413
Country	:	US
Telephone Number	:	805-983-1097
Fax Number	:	805-983-7402

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

Provider Enumeration Date	:	08/27/2010
Last Update Date	:	08/27/2010

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