Provider Demographics
NPI:1770925208
Name:BUI, THU ANH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:THU
Middle Name:ANH
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 1:2721 GREEN MEADOW DR.
Mailing Address - Street 2:
Mailing Address - City:BLACKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24060-9155
Mailing Address - Country:US
Mailing Address - Phone:540-641-3133
Mailing Address - Fax:
Practice Address - Street 1:4985 WELLINGTON RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-4052
Practice Address - Country:US
Practice Address - Phone:703-753-2683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-25
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202212372183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist