Buckley'S Pharmacy #105

LBN: Buckleys Pharmacy Of Warren Llc
Buckley'S Pharmacy #105 is an health care organization with primary practice located at 29200 Ryan Rd , Warren MI 48092-4242. 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 Warren Llc can be contacted via phone (586) 558-8787, or through Cole, Anthony via phone (586) 558-8787.

Contact Information

Primary practice address
29200 Ryan Rd Warren MI 48092-4242
Phone: (586) 558-8787
Fax: (586) 558-8793
Website:
Map and Directions
Authorized official contact:
Name: Cole, Anthony PHARMDMPHMBAMS
Phone: (586) 558-8787

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301010625 Michigan

Profile Details

NPI number 1861882599
LBN Legal business name Buckleys Pharmacy Of Warren Llc
DBA Doing business as Buckley'S Pharmacy #105
Authorized official Cole, Anthony PHARMDMPHMBAMS
Entity Organization
Organization subpart 1 No
Enumeration date Feb 3rd, 2015
Last updated Apr 5th, 2016 - about 10 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 1861882599 NPPES
Other 2150063 PK
MEDICAID 2365600 PK

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