Healthcare Provider Details

I. General information

NPI: 1265957708
Provider Name (Legal Business Name): ANDREW JONATHON BUHRMAN PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2017
Last Update Date: 08/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 N HOUK RD
DELAWARE OH
43015-4418
US

IV. Provider business mailing address

4104 HEYBRIDGE AVE STE 310
HILLIARD OH
43026-1923
US

V. Phone/Fax

Practice location:
  • Phone: 740-362-8426
  • Fax:
Mailing address:
  • Phone: 937-474-0686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03236908
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: