Healthcare Provider Details

I. General information

NPI: 1154623668
Provider Name (Legal Business Name): JAMES GABRIEL BUEL PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2010
Last Update Date: 04/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

N6520 GUY RD HO-CHUNK HEALTH CARE CENTER
BLACK RIVER FALLS WI
54615
US

IV. Provider business mailing address

N6520 GUY RD HO-CHUNK HEALTH CARE CENTER
BLACK RIVER FALLS WI
54615
US

V. Phone/Fax

Practice location:
  • Phone: 715-284-9851
  • Fax: 715-284-5150
Mailing address:
  • Phone: 715-284-9851
  • Fax: 715-284-5150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH-0012392
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number16212-040
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: