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Individual

DR. AUGUSTINE CONG BUI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
5020 GRAPE RD, MISHAWAKA, IN 46545
(574) 273-3510
(574) 273-3565
Mailing address
5020 GRAPE RD, MISHAWAKA, IN 46545
(574) 273-3510
(574) 273-3565

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
44427
TN
183500000X
Pharmacist
5302413706
MI

Other

Enumeration date
10/01/2021
Last updated
02/12/2025
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