Provider Demographics
NPI:1669037420
Name:BUI, VY H
Entity Type:Individual
Prefix:
First Name:VY
Middle Name:H
Last Name:BUI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1109 COUNTRY CLUB DR
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93638-1598
Mailing Address - Country:US
Mailing Address - Phone:559-673-0003
Mailing Address - Fax:
Practice Address - Street 1:1109 COUNTRY CLUB DR
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93638-1537
Practice Address - Country:US
Practice Address - Phone:559-673-0003
Practice Address - Fax:559-673-2131
Is Sole Proprietor?:No
Enumeration Date:2019-05-07
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA70271183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist