Provider Demographics
NPI:1548574007
Name:BUI, HIEU THUONG (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:HIEU
Middle Name:THUONG
Last Name:BUI
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:671 J CLYDE MORRIS BLVD
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1839
Mailing Address - Country:US
Mailing Address - Phone:757-596-0037
Mailing Address - Fax:757-595-5725
Practice Address - Street 1:671 J CLYDE MORRIS BLVD
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-1839
Practice Address - Country:US
Practice Address - Phone:757-596-0037
Practice Address - Fax:757-595-5725
Is Sole Proprietor?:No
Enumeration Date:2010-07-27
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202205269183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist