# BUDERER DRUG COMPANY INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Buderer Drug Company, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013067107
- **Authorized official:** MATTHEW J BUDERER R.PH. (VICE PRESIDENT)
- **Authorized official phone:** (419) 627-2800

## Contact information

- **Practice address:** 633 HANCOCK ST, SANDUSKY, OH 44870-3603
- **Practice address phone:** (419) 627-2800
- **Practice address fax:** (419) 626-0494
- **Mailing address:** 633 HANCOCK ST, SANDUSKY, OH 44870-3603
- **Mailing address phone:** (419) 627-2800
- **Mailing address fax:** (419) 626-0494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336H0001X | Home Infusion Therapy Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 01/11/2007
- **Last updated:** 06/08/2023

## 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 |