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Individual

MR. TAI LONG HUYNH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D

Contact information

Practice address
9950 W VIA DEL SOL, PEORIA, AZ 85383-3323
(714) 467-6718
Mailing address
9950 W VIA DEL SOL, PEORIA, AZ 85383-3323
(714) 467-6718

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
70809
CA
1835X0200X
Oncology Pharmacist
S020038
AZ

Other

Enumeration date
09/26/2016
Last updated
09/26/2016
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