Provider Demographics
NPI:1184907404
Name:BUI, DIEM THUY THI (PHARM D)
Entity type:Individual
Prefix:MRS
First Name:DIEM THUY
Middle Name:THI
Last Name:BUI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2595 E BIDWELL ST
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-6439
Mailing Address - Country:US
Mailing Address - Phone:916-817-6533
Mailing Address - Fax:916-817-6538
Practice Address - Street 1:2595 E BIDWELL ST
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-6439
Practice Address - Country:US
Practice Address - Phone:916-817-6533
Practice Address - Fax:916-817-6538
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-22
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58952183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist