Provider Demographics
NPI:1346226248
Name:VUTIEN, BICHTRAM NGUYEN (RPH)
Entity Type:Individual
Prefix:
First Name:BICHTRAM
Middle Name:NGUYEN
Last Name:VUTIEN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:955 WHITCOMB CT
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-7840
Mailing Address - Country:US
Mailing Address - Phone:408-946-2887
Mailing Address - Fax:
Practice Address - Street 1:1070 STORY RD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95122-2631
Practice Address - Country:US
Practice Address - Phone:408-995-5533
Practice Address - Fax:408-995-5573
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37817183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist