Provider Demographics
NPI:1457114266
Name:BUCHLER, ADAM DANIEL (RPH)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:DANIEL
Last Name:BUCHLER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 WHITE PINE DR
Mailing Address - Street 2:
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-2810
Mailing Address - Country:US
Mailing Address - Phone:856-275-1658
Mailing Address - Fax:
Practice Address - Street 1:74 S LAKEVIEW DR
Practice Address - Street 2:
Practice Address - City:GIBBSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08026-1157
Practice Address - Country:US
Practice Address - Phone:856-783-6328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03731000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist