Provider Demographics
NPI:1285235986
Name:BUI, CHIEU (PHARMACIST)
Entity type:Individual
Prefix:MRS
First Name:CHIEU
Middle Name:
Last Name:BUI
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4102 S COLT HAVEN CIR
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84124-2653
Mailing Address - Country:US
Mailing Address - Phone:801-231-4396
Mailing Address - Fax:
Practice Address - Street 1:1905 S 300 W
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84115-1806
Practice Address - Country:US
Practice Address - Phone:801-478-1695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-08
Last Update Date:2020-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT347730-1701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist