Individual
MICHAEL DAVID BUCHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2021 E INDEPENDENCE ST, SPRINGFIELD, MO 65804-3748
(417) 886-2645
Mailing address
2021 E INDEPENDENCE ST, SPRINGFIELD, MO 65804-3748
(417) 886-2645
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2012036014
MO
Other
Enumeration date
11/06/2020
Last updated
12/16/2020
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