Provider Demographics
NPI:1013167949
Name:BUI, HAN NGUYEN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HAN
Middle Name:NGUYEN
Last Name:BUI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9560 COMPASS POINT DR S UNIT 5
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-5571
Mailing Address - Country:US
Mailing Address - Phone:503-330-4198
Mailing Address - Fax:619-435-5915
Practice Address - Street 1:836 ORANGE AVE
Practice Address - Street 2:
Practice Address - City:CORONADO
Practice Address - State:CA
Practice Address - Zip Code:92118-2619
Practice Address - Country:US
Practice Address - Phone:619-435-6585
Practice Address - Fax:619-435-5915
Is Sole Proprietor?:No
Enumeration Date:2008-09-29
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54858183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist