Provider Demographics
NPI:1649159021
Name:MUGISHA, BIENFAITEUR (PHARMD)
Entity type:Individual
Prefix:
First Name:BIENFAITEUR
Middle Name:
Last Name:MUGISHA
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 1:580 HOMEMONT AVE
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-9636
Mailing Address - Country:US
Mailing Address - Phone:984-244-4726
Mailing Address - Fax:
Practice Address - Street 1:200 US HIGHWAY 70 E
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-7500
Practice Address - Country:US
Practice Address - Phone:919-732-6263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC34185183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist