MEDICARE: DR. NHU X 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	018510	KY
2	183500000X	Pharmacist	26026569A	IN

General Provider Information

NPI Number	:	1952752875
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NHU X BUI PHARMD

Provider Business Mailing Address
First Line	:	2514 HIKES LN
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40218-1468
Country	:	US
Telephone Number	:	502-424-2896
Fax Number	:

Provider Business Practice Location Address
First Line	:	2514 HIKES LN
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40218-1468
Country	:	US
Telephone Number	:	502-424-2896
Fax Number	:

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

Provider Enumeration Date	:	06/22/2016
Last Update Date	:	06/22/2016

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