MEDICARE: BUECHLER PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	3336C0004X	Compounding Pharmacy
4	3336C0003X	Community/Retail Pharmacy	1001801	SD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	4300478	OTHER	NCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number	:	1578657888
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUECHLER PHARMACY INC

Provider Business Mailing Address
First Line	:	1007 N MAIN ST
Second Line	:
City	:	MITCHELL
State	:	SD
Zip	:	57301-1351
Country	:	US
Telephone Number	:	605-996-7751
Fax Number	:	605-996-4196

Provider Business Practice Location Address
First Line	:	1007 N MAIN ST
Second Line	:
City	:	MITCHELL
State	:	SD
Zip	:	57301-1351
Country	:	US
Telephone Number	:	605-996-7751
Fax Number	:	605-996-4196

Authorized Official
Title or Position	:	PRESIDENT AND OWNER
Name	:	JIM BUECHLER
Credential	:
Telephone Number	:	605-996-7751

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	06/21/2011

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Directions to “BUECHLER PHARMACY INC ” Practice Location

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