Individual
TAM QUANG BUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2300 EAST LOHMAN AVE., WALGREENS PHARMACY:, LAS CRUCES, NM 88001
(575) 647-2506
Mailing address
2330 NEVADA AVE, APT 708, LAS CRUCES, NM 88001-1413
(626) 251-8070
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00007921
NM
Other
Enumeration date
07/12/2013
Last updated
07/12/2013
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