Buchholz, Lisa

Buchholz, Lisa is an sole proprietor health care provider with primary practice located at 111 Oak St , Bonner Springs KS 66012-1049. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Buchholz, Lisa can be contacted via phone (913) 596-0159.

Contact Information

Primary practice address
111 Oak St Bonner Springs KS 66012-1049
Phone: (913) 596-0159
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 1-14195 Kansas
Pharmacy Service Providers / Pharmacist 183500000X 0017618 Colorado
Pharmacy Service Providers / Pharmacist 183500000X 2011011745 Missouri

Profile Details

NPI number 1700264355
LBN Legal business name Buchholz, Lisa
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2015
Last updated May 15th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700264355 NPPES
Kansas MEDICAID 1D043533DE

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