Individual
THAO PHUONG HUYNH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
8221 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4512
(703) 852-0041
(703) 289-2790
Mailing address
8221 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-8555
(703) 852-0041
(703) 289-2790
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
0202205506
VA
1835P1300X
Psychiatric Pharmacist
PH22646
MA
Other
Enumeration date
12/05/2013
Last updated
05/05/2015
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