MEDICARE: DR. TONY BUI PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	47497	TX

General Provider Information

NPI Number	:	1346579950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TONY BUI PHARMD

Provider Business Mailing Address
First Line	:	7601 GATEWAY BLVD
Second Line	:	APT 223
City	:	LIVE OAK
State	:	TX
Zip	:	78233-2671
Country	:	US
Telephone Number	:	832-618-8852
Fax Number	:

Provider Business Practice Location Address
First Line	:	11658 IH35 N
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78233-5305
Country	:	US
Telephone Number	:	210-599-0398
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2009
Last Update Date	:	12/09/2009

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