Provider Demographics
NPI:1306108808
Name:BUEHLER, WAYNE MICHAEL (RPH)
Entity type:Individual
Prefix:MR
First Name:WAYNE
Middle Name:MICHAEL
Last Name:BUEHLER
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:PO BOX 1153
Mailing Address - Street 2:200 HOSPITAL DRIVE
Mailing Address - City:LEBANON
Mailing Address - State:MO
Mailing Address - Zip Code:65536-1153
Mailing Address - Country:US
Mailing Address - Phone:417-533-6770
Mailing Address - Fax:417-533-6777
Practice Address - Street 1:200 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:MO
Practice Address - Zip Code:65536-9215
Practice Address - Country:US
Practice Address - Phone:417-533-6770
Practice Address - Fax:417-533-6777
Is Sole Proprietor?:No
Enumeration Date:2012-06-11
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO040227183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist