Provider Demographics
NPI:1902187180
Name:BUSCHLE, AMY (PHARMD)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:BUSCHLE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:AJ
Other - Middle Name:
Other - Last Name:BUSCHLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:5508 BRIDGETOWN RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45248-4330
Mailing Address - Country:US
Mailing Address - Phone:513-574-1978
Mailing Address - Fax:513-574-2098
Practice Address - Street 1:5508 BRIDGETOWN RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45248-4330
Practice Address - Country:US
Practice Address - Phone:513-574-1978
Practice Address - Fax:513-574-2098
Is Sole Proprietor?:No
Enumeration Date:2011-09-01
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03228098183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist