Organization
BUDERER DRUG COMPANY INC
Active
Other names
Buderer Drug Company, Avon
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW J BUDERER R.PH. (VICE PRESIDENT)
(419) 873-2800
Entity
Organization
Contact information
Practice address
38530 CHESTER RD, SUITE 400, AVON, OH 44011-4047
(440) 934-3100
(440) 934-3103
Mailing address
38530 CHESTER RD, SUITE 400, AVON, OH 44011-4047
(440) 934-3100
(440) 934-3103
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
3336C0003X
Community/Retail Pharmacy
Primary
SP022133300
OH
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0054740
—
OH
01
—
022133300
OHIO STATE BOARD OF PHARMACY TDDD
OH
01
—
2130965
PK
—
Enumeration date
06/26/2011
Last updated
06/08/2023
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