Organization
BUCKHORN PHARMACY LLC
Active
Other names
Buckhorn Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAMS BARNHART (OWNER)
(561) 272-0015
Entity
Organization
Contact information
Practice address
1085 SOPCHOPPY HWY, STE 1A, SOPCHOPPY, FL 32358-1016
(850) 962-2166
(850) 877-3497
Mailing address
1085 SOPCHOPPY HWY, STE 1A, SOPCHOPPY, FL 32358-1016
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH23576
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1039230
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/03/2008
Last updated
02/27/2009
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