Individual
ETHAN H BUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
7202 POPLAR ST, ANNANDALE, VA 22003-3041
(571) 830-6583
(571) 830-6923
Mailing address
7202 POPLAR ST, ANNANDALE, VA 22003-3041
(571) 830-6583
(571) 830-6923
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202214900
VA
Other
Enumeration date
12/29/2020
Last updated
01/11/2021
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