Provider Demographics
NPI:1629188768
Name:BUXTON, EUGENE W JR (RPH)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:W
Last Name:BUXTON
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:201 CIMARRON TRL
Mailing Address - Street 2:
Mailing Address - City:AFTON
Mailing Address - State:TN
Mailing Address - Zip Code:37616-5461
Mailing Address - Country:US
Mailing Address - Phone:423-636-7522
Mailing Address - Fax:423-638-9105
Practice Address - Street 1:906 TUSCULUM BLVD
Practice Address - Street 2:SUITE 2
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37745-4004
Practice Address - Country:US
Practice Address - Phone:423-638-7101
Practice Address - Fax:423-638-9105
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN3790183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist