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Organization
BUDERER DRUG COMPANY INC
Active
Organization
BUDERER DRUG COMPANY INC
Active
Other names
Buderer Drug Company, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW J BUDERER R.PH. (VICE PRESIDENT)
(419) 627-2800
Entity
Organization
Contact information
Practice address
633 HANCOCK ST, SANDUSKY, OH 44870-3603
(419) 627-2800
(419) 626-0494
Mailing address
633 HANCOCK ST, SANDUSKY, OH 44870-3603
(419) 627-2800
(419) 626-0494
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
3336H0001X
Home Infusion Therapy Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0221106900
OHIO BOARD OF PHARMACY LICENSE TDDD
OH
01
—
2076521
PK
—
05
—
3098740
—
OH
01
—
3666801
NCPDP
OH
01
—
OH1830
KENTUCKY BOARD OF PHARMACY
KY
Enumeration date
01/11/2007
Last updated
06/08/2023
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