Individual
THUY BUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1441 EASTLAKE AVE, LOS ANGELES, CA 90089-1019
(724) 548-4899
Mailing address
200 HAZELL WAY, SAN GABRIEL, CA 91776-3205
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
70744
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70744
PHARMD LICENSE
CA
Enumeration date
06/15/2022
Last updated
06/15/2022
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