Provider Demographics
NPI:1427444975
Name:BUI, THU HONG
Entity type:Individual
Prefix:
First Name:THU HONG
Middle Name:
Last Name:BUI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14460 W MAPLE RD
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68116-5163
Mailing Address - Country:US
Mailing Address - Phone:402-493-0443
Mailing Address - Fax:402-493-0470
Practice Address - Street 1:14460 W MAPLE RD
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68116-5163
Practice Address - Country:US
Practice Address - Phone:402-493-0443
Practice Address - Fax:402-493-0470
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-11
Last Update Date:2020-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE14588183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist