Provider Demographics
NPI:1285916338
Name:NGUYEN, BAO NGOC BUI (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BAO
Middle Name:NGOC BUI
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9809 SW 23RD ST
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-5154
Mailing Address - Country:US
Mailing Address - Phone:405-343-9330
Mailing Address - Fax:405-494-7421
Practice Address - Street 1:9809 SW 23RD ST
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-5154
Practice Address - Country:US
Practice Address - Phone:405-343-9330
Practice Address - Fax:405-494-7421
Is Sole Proprietor?:No
Enumeration Date:2011-09-14
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK14186183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist