Healthcare Provider Details

I. General information

NPI: 1700919420
Provider Name (Legal Business Name): BUEHLERS BUY LOW PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2005 W BROADWAY ST
PRINCETON IN
47670-1084
US

IV. Provider business mailing address

1205 S WASHINGTON AVE
PRINCETON IN
47670-2933
US

V. Phone/Fax

Practice location:
  • Phone: 812-386-7672
  • Fax: 812-386-5155
Mailing address:
  • Phone: 812-385-3953
  • Fax: 812-385-3953

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number60004871
License Number StateIN

VIII. Authorized Official

Name: MS. LESLIE BIDWELL
Title or Position: PHARMACY SUPERVISOR
Credential:
Phone: 812-386-7672