| NPI | 1902148356 |
|---|---|
| Doing Business As | BUCKLEY'S PHARMACY #103 |
| Entity Type | Organization |
| Authorized Contact | ANTHONY COLE Managing Member 313-971-5030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301010055) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2013-03-25 |