| NPI | 1922421528 |
|---|---|
| Doing Business As | BUCKLEY'S PHARMACY #104 |
| Entity Type | Organization |
| Authorized Contact | ANTHONY COLE Director Of Clinical Services 313-971-5030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301010311) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2014-02-03 |