Buckleys Pharmacy

LBN: Tll&W Inc Dba Buckleys Pharmacy
Buckleys Pharmacy is an health care organization with primary practice located at 301 Hospital Dr , Cleveland MS 38732-2358. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Tll&W Inc Dba Buckleys Pharmacy can be contacted via phone (662) 843-3654, or through Roberts, Cullie Taylor via phone (662) 843-3654.

Contact Information

Primary practice address
301 Hospital Dr Cleveland MS 38732-2358
Phone: (662) 843-3654
Fax: (662) 843-3622
Website:
Map and Directions
Authorized official contact:
Name: Roberts, Cullie Taylor R.PH.
Phone: (662) 843-3654

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 00509 Mississippi

Profile Details

NPI number 1063557718
LBN Legal business name Tll&W Inc Dba Buckleys Pharmacy
DBA Doing business as Buckleys Pharmacy
Authorized official Roberts, Cullie Taylor R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1063557718 NPPES
Mississippi Other 2515192 NCPDP
Mississippi MEDICAID 0030389 NCPDP

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