Provider Demographics
NPI:1235276759
Name:BUI, THANH C (PHARMD)
Entity Type:Individual
Prefix:
First Name:THANH
Middle Name:C
Last Name:BUI
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:PO BOX 7080
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95763-7080
Mailing Address - Country:US
Mailing Address - Phone:916-607-4284
Mailing Address - Fax:916-983-4321
Practice Address - Street 1:2923 W CAPITOL AVE
Practice Address - Street 2:
Practice Address - City:WEST SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95691-2910
Practice Address - Country:US
Practice Address - Phone:916-617-4321
Practice Address - Fax:916-617-2727
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46257183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist