Buckley'S Pharmacy #104

LBN: Buckleys Eastside Pharmacy Llc
Buckley'S Pharmacy #104 is an health care organization with primary practice located at 15014 E 8 Mile Rd , Detroit MI 48205-1352. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Buckleys Eastside Pharmacy Llc can be contacted via phone (313) 245-0300, or through Cole, Anthony via phone (313) 971-5030.

Contact Information

Primary practice address
15014 E 8 Mile Rd Detroit MI 48205-1352
Phone: (313) 245-0300
Fax: (313) 245-0330
Website:
Map and Directions
Authorized official contact:
Name: Cole, Anthony
Phone: (313) 971-5030

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301010311 Michigan
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1922421528
LBN Legal business name Buckleys Eastside Pharmacy Llc
DBA Doing business as Buckley'S Pharmacy #104
Authorized official Cole, Anthony
Entity Organization
Organization subpart 1 No
Enumeration date Feb 3rd, 2014
Last updated Feb 3rd, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922421528 NPPES
Other 2144115 PK

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