Provider Demographics
NPI:1548580160
Name:BUI, TOANTHIEN S (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:TOANTHIEN
Middle Name:S
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 1:14610 LEE HWY
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-1831
Mailing Address - Country:US
Mailing Address - Phone:571-248-6536
Mailing Address - Fax:
Practice Address - Street 1:14610 LEE HWY
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-1831
Practice Address - Country:US
Practice Address - Phone:571-248-6536
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-04
Last Update Date:2010-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202012693183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0202012693OtherVA PHARMACIST LICENSE