Individual
TRACY MAI BUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 W LA HWY 30, GONZALES, LA 70737
(225) 644-0434
Mailing address
105 W LA HWY 30, GONZALES, LA 70737-3131
(252) 644-0434
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.023195
LA
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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