Healthcare Provider Details

I. General information

NPI: 1801074018
Provider Name (Legal Business Name): BUEHLER FOOD MARKETS INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2008
Last Update Date: 06/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 OLD MANSFIELD RD
WOOSTER OH
44691-9050
US

IV. Provider business mailing address

1401 OLD MANSFIELD RD PO BOX 196
WOOSTER OH
44691-9050
US

V. Phone/Fax

Practice location:
  • Phone: 330-264-4355
  • Fax:
Mailing address:
  • Phone: 330-264-4355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: VERNE L MOUNTS
Title or Position: PHARMACY DIRECTOR
Credential: R.PH
Phone: 330-345-5908