Provider Demographics
NPI:1760012819
Name:BUI, TUYEN MY (PHARMD)
Entity Type:Individual
Prefix:
First Name:TUYEN
Middle Name:MY
Last Name:BUI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7177 BELCREST DR
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30097-1596
Mailing Address - Country:US
Mailing Address - Phone:404-643-6804
Mailing Address - Fax:
Practice Address - Street 1:7400 BLACKMON RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909-4480
Practice Address - Country:US
Practice Address - Phone:706-330-5214
Practice Address - Fax:706-330-5212
Is Sole Proprietor?:No
Enumeration Date:2020-01-16
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH031496183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist