Buckley'S Pharmacy #102
LBN: Buckleys Pharmacy Of Hazel Park Llc
Buckley'S Pharmacy #102 is an health care organization with primary practice located at 20721 Dequindre Rd Ste B , Hazel Park MI 48030-2633. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Buckleys Pharmacy Of Hazel Park Llc can be contacted via phone (248) 808-6505, or through Cole, Anthony via phone (313) 971-5030.
Contact Information
Primary practice address
20721 Dequindre Rd Ste B
Hazel Park MI 48030-2633
Phone: (248) 808-6505
Fax: (248) 808-6351
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5301009840 | Michigan |
Profile Details
| NPI number | 1962764506 |
|---|---|
| LBN Legal business name | Buckleys Pharmacy Of Hazel Park Llc |
| DBA Doing business as | Buckley'S Pharmacy #102 |
| Authorized official | Cole, Anthony PHARMDMPHMBAMS |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 11th, 2012 |
| Last updated | Apr 5th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962764506 | NPPES |
| Michigan | MEDICAID | 2376867 | |
| Michigan | Other | 2135482 |
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