Individual
DIEM N HUYNH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1920 ALOMA AVE, WINTER PARK, FL 32792-3207
(407) 628-1899
Mailing address
12508 CITRUS VALLEY DR, TAMPA, FL 33625-6505
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS56637
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS56637
LICENSE NUMBER
—
Enumeration date
08/02/2017
Last updated
08/02/2017
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