Healthcare Provider Details

I. General information

NPI: 1881970812
Provider Name (Legal Business Name): RACHEL K BUERMAN PHARM. D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2011
Last Update Date: 10/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6390 BROOKLYN BLVD
BROOKLYN CENTER MN
55429-2600
US

IV. Provider business mailing address

6390 BROOKLYN BLVD
BROOKLYN CENTER MN
55429-2600
US

V. Phone/Fax

Practice location:
  • Phone: 763-585-9946
  • Fax: 763-569-9904
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number118311
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: