# BUDERER DRUG COMPANY INC

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

## Provider details

- **NPI number:** 1750677944
- **Authorized official:** MATTHEW J BUDERER R.PH. (VICE PRESIDENT)
- **Authorized official phone:** (419) 873-2800

## Contact information

- **Practice address:** 38530 CHESTER RD, SUITE 400, AVON, OH 44011-4047
- **Practice address phone:** (440) 934-3100
- **Practice address fax:** (440) 934-3103
- **Mailing address:** 38530 CHESTER RD, SUITE 400, AVON, OH 44011-4047
- **Mailing address phone:** (440) 934-3100
- **Mailing address fax:** (440) 934-3103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | SP022133300 | OH | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336H0001X | Home Infusion Therapy Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 06/26/2011
- **Last updated:** 06/08/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0054740 | — | OH |
| 01 | — | 022133300 | OHIO STATE BOARD OF PHARMACY TDDD | OH |
| 01 | — | 2130965 | PK | — |