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NPI Code Detail

MEDICARE: BENJAMIN SCOTT BUESCHER PHARMD

MEDICARE: BENJAMIN SCOTT BUESCHER PHARMD
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
1183500000XPharmacist2016032031MO

General Provider Information

NPI Number : 1619425782
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN SCOTT BUESCHER PHARMD
Provider Business Mailing Address
First Line : 154 TRANQUILITY TRL
Second Line :
City : JACKSON
State : MO
Zip : 63755-8600
Country : US
Telephone Number : 573-270-8164
Fax Number :
Provider Business Practice Location Address
First Line : 3051 E JACKSON BLVD
Second Line :
City : JACKSON
State : MO
Zip : 63755-2910
Country : US
Telephone Number : 573-205-7360
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2016
Last Update Date : 09/16/2016

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