Provider Demographics
NPI:1356679476
Name:BUI, HANH M (RPH)
Entity Type:Individual
Prefix:
First Name:HANH
Middle Name:M
Last Name:BUI
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 1:8538 IH 35 SOUTH
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78211
Mailing Address - Country:US
Mailing Address - Phone:210-810-3686
Mailing Address - Fax:210-810-3199
Practice Address - Street 1:8538 INTERSTATE 35 SOUTH
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78211-1436
Practice Address - Country:US
Practice Address - Phone:210-927-4370
Practice Address - Fax:210-810-3166
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-01
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38734183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist