Healthcare Provider Details

I. General information

NPI: 1932964194
Provider Name (Legal Business Name): SARA BUETER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARA CHAMBERS

II. Dates (important events)

Enumeration Date: 02/16/2024
Last Update Date: 02/16/2024
Certification Date: 02/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4865 S CATAWBA ST
AURORA CO
80016-5951
US

IV. Provider business mailing address

4865 S CATAWBA ST
AURORA CO
80016-5951
US

V. Phone/Fax

Practice location:
  • Phone: 303-547-2074
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License NumberPHAT.0004845
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: