Provider Demographics
NPI:1760602296
Name:BUEHLERS BUY LOW PHARMACY
Entity Type:Organization
Organization Name:BUEHLERS BUY LOW PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY DIRECTER
Authorized Official - Prefix:
Authorized Official - First Name:GLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLIKAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-386-7672
Mailing Address - Street 1:2005 W. BROADWAY
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:IN
Mailing Address - Zip Code:47670
Mailing Address - Country:US
Mailing Address - Phone:812-386-7672
Mailing Address - Fax:812-386-5155
Practice Address - Street 1:2005 W. BROADWAY
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:IN
Practice Address - Zip Code:47670
Practice Address - Country:US
Practice Address - Phone:812-386-7672
Practice Address - Fax:812-386-5155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN67000258A183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183700000XPharmacy Service ProvidersPharmacy TechnicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN=========OtherTAX ID
IN=========OtherTAX ID