Provider Demographics
NPI:1679868970
Name:HUYNH-LE, LAM HUYNH-LE (PHARMD)
Entity type:Individual
Prefix:MR
First Name:LAM
Middle Name:HUYNH-LE
Last Name:HUYNH-LE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3201 PRESTON RD
Mailing Address - Street 2:T-1763
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-9446
Mailing Address - Country:US
Mailing Address - Phone:972-668-6909
Mailing Address - Fax:972-668-6909
Practice Address - Street 1:3201 PRESTON RD
Practice Address - Street 2:T-1763
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-9446
Practice Address - Country:US
Practice Address - Phone:972-668-6909
Practice Address - Fax:972-668-6909
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-14
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40589183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist