Provider Demographics
NPI:1649310509
Name:BUCHNER, LAWRENCE WOODSON (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:WOODSON
Last Name:BUCHNER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46-063 EMEPELA PL APT S103
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-3968
Mailing Address - Country:US
Mailing Address - Phone:808-235-4350
Mailing Address - Fax:808-432-3951
Practice Address - Street 1:56-565 KAMEHAMEHA HWY
Practice Address - Street 2:
Practice Address - City:KAHUKU
Practice Address - State:HI
Practice Address - Zip Code:96731-2202
Practice Address - Country:US
Practice Address - Phone:808-432-3923
Practice Address - Fax:808-432-3951
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI00463183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist