Healthcare Provider Details

I. General information

NPI: 1356485684
Provider Name (Legal Business Name): BUERKLE DRUG MANAGEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2007
Last Update Date: 01/24/2022
Certification Date: 01/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 S MAIN ST
STUTTGART AR
72160-4355
US

IV. Provider business mailing address

202 S MAIN ST
STUTTGART AR
72160-4355
US

V. Phone/Fax

Practice location:
  • Phone: 870-673-1311
  • Fax: 870-673-3784
Mailing address:
  • Phone: 870-673-1311
  • Fax: 870-673-3784

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberAR412774
License Number StateAR

VIII. Authorized Official

Name: BRANDYN ENGLAND
Title or Position: MANAGING PARTNER/PHARMACIST IN CHAR
Credential: PHARM D
Phone: 890-673-1311