| NPI | 1467545897 |
|---|---|
| Doing Business As | BUCKLEYS DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | GILBERT DOMINGUEZ PIC 201-569-1365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NJ 28RS00419300) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2011-08-03 |