Provider Demographics
NPI:1114731395
Name:BUEHRLE, SCOTT DOWAIN (PHARM D)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:DOWAIN
Last Name:BUEHRLE
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 N FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:CUBA
Mailing Address - State:MO
Mailing Address - Zip Code:65453-1717
Mailing Address - Country:US
Mailing Address - Phone:573-885-0885
Mailing Address - Fax:
Practice Address - Street 1:733 W SPRINGFIELD AVE
Practice Address - Street 2:
Practice Address - City:GERALD
Practice Address - State:MO
Practice Address - Zip Code:63037-2135
Practice Address - Country:US
Practice Address - Phone:573-764-5980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-06
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002007010183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist