Healthcare Provider Details

I. General information

NPI: 1578657888
Provider Name (Legal Business Name): BUECHLER PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 06/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1007 N MAIN ST
MITCHELL SD
57301-1351
US

IV. Provider business mailing address

1007 N MAIN ST
MITCHELL SD
57301-1351
US

V. Phone/Fax

Practice location:
  • Phone: 605-996-7751
  • Fax: 605-996-4196
Mailing address:
  • Phone: 605-996-7751
  • Fax: 605-996-4196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number1001801
License Number StateSD

VIII. Authorized Official

Name: JIM BUECHLER
Title or Position: PRESIDENT AND OWNER
Credential:
Phone: 605-996-7751