Healthcare Provider Details

I. General information

NPI: 1982737342
Provider Name (Legal Business Name): BUEHLER'S PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 N 2ND AVE.
JASPER IN
47546-3401
US

IV. Provider business mailing address

750 N 2ND
JASPER IN
47546
US

V. Phone/Fax

Practice location:
  • Phone: 812-634-7379
  • Fax: 812-482-3216
Mailing address:
  • Phone: 812-634-7379
  • Fax: 812-482-3216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number60005700A
License Number StateIN

VIII. Authorized Official

Name: MRS. KIMBERLEY RENEE BLUME
Title or Position: PHARMACY TECH.
Credential:
Phone: 812-367-2799