Provider Demographics
NPI:1346579950
Name:BUI, TONY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TONY
Middle Name:
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 1:7601 GATEWAY BLVD
Mailing Address - Street 2:APT 223
Mailing Address - City:LIVE OAK
Mailing Address - State:TX
Mailing Address - Zip Code:78233-2671
Mailing Address - Country:US
Mailing Address - Phone:832-618-8852
Mailing Address - Fax:
Practice Address - Street 1:11658 IH35 N
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78233-5305
Practice Address - Country:US
Practice Address - Phone:210-599-0398
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-09
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX47497183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist