Provider Demographics
NPI:1669790416
Name:PABLO, LYNN BUI (RPH)
Entity type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:BUI
Last Name:PABLO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:LYNN
Other - Middle Name:LINH
Other - Last Name:BUI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:2805 BUSINESS CENTER DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-2191
Mailing Address - Country:US
Mailing Address - Phone:713-578-6155
Mailing Address - Fax:
Practice Address - Street 1:2805 BUSINESS CENTER DR
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-2191
Practice Address - Country:US
Practice Address - Phone:713-578-6155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-04
Last Update Date:2010-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41889183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist