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NPI Code Detail

MEDICARE: HAN T BUI PHARMACIST

MEDICARE: HAN T BUI PHARMACIST
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
1183500000XPharmacist42859TX

General Provider Information

NPI Number : 1578890547
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAN T BUI PHARMACIST
Provider Business Mailing Address
First Line : 3425 SYCAMORE SCHOOL RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76123-3030
Country : US
Telephone Number : 817-370-0505
Fax Number : 817-370-2219
Provider Business Practice Location Address
First Line : 3425 SYCAMORE SCHOOL RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76123-3030
Country : US
Telephone Number : 817-370-0505
Fax Number : 817-370-2219
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2009
Last Update Date : 11/11/2009

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Directions to “ HAN T BUI PHARMACIST” Practice Location

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