Provider Demographics
NPI:1255616231
Name:BUI, JULIANNE QUYEN (PHARM D)
Entity type:Individual
Prefix:MS
First Name:JULIANNE
Middle Name:QUYEN
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 1:668 N HILLVIEW DR
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-4510
Mailing Address - Country:US
Mailing Address - Phone:408-347-1404
Mailing Address - Fax:
Practice Address - Street 1:1661 MCKEE RD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1236
Practice Address - Country:US
Practice Address - Phone:408-347-1404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-21
Last Update Date:2011-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48736183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist