Healthcare Provider Details

I. General information

NPI: 1114731395
Provider Name (Legal Business Name): SCOTT DOWAIN BUEHRLE PHARM D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2025
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

733 W SPRINGFIELD AVE
GERALD MO
63037-2135
US

IV. Provider business mailing address

330 N FRANKLIN ST
CUBA MO
65453-1717
US

V. Phone/Fax

Practice location:
  • Phone: 573-764-5980
  • Fax:
Mailing address:
  • Phone: 573-885-0885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2002007010
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: