Provider Demographics
NPI:1548572829
Name:BUCHERT, BEVERLY LOUISE (RPH)
Entity Type:Individual
Prefix:
First Name:BEVERLY
Middle Name:LOUISE
Last Name:BUCHERT
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4245 HOLLAND RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-1904
Mailing Address - Country:US
Mailing Address - Phone:757-474-2289
Mailing Address - Fax:757-474-4219
Practice Address - Street 1:4245 HOLLAND RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-1904
Practice Address - Country:US
Practice Address - Phone:757-474-2289
Practice Address - Fax:757-474-4219
Is Sole Proprietor?:No
Enumeration Date:2010-07-02
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202006856183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist