Individual
MR. ANDREW HOWELL BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
8 TH AVENUE & C ST, ATTN: DEPT 521 - OUTPATIENT PHARMACY, SALT LAKE CITY, UT 84143-0001
(801) 408-1122
(801) 408-5172
Mailing address
8 TH AVENUE & C ST, ATTN: DEPT 521 - OUTPATIENT PHARMACY, SALT LAKE CITY, UT 84143-0001
(801) 408-1122
(801) 408-5172
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
368989-1701
UT
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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