Healthcare Provider Details

I. General information

NPI: 1548367261
Provider Name (Legal Business Name): MATTHEW ALLEN BUEHLER RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

899 MAIN ST LIFETIME HEALTH PHARMACY
BUFFALO NY
14203-1109
US

IV. Provider business mailing address

55 LINCOLN BLVD
KENMORE NY
14217-2306
US

V. Phone/Fax

Practice location:
  • Phone: 718-878-2700
  • Fax: 716-504-5657
Mailing address:
  • Phone: 716-876-8269
  • Fax: 716-504-5657

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number35993
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: