Organization
BUCKLEYS PHARMACY OF DETROIT LLC
Active
Organization
BUCKLEYS PHARMACY OF DETROIT LLC
Active
Other names
Buckley's Pharmacy #103
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY COLE (MANAGING MEMBER)
(313) 971-5030
Entity
Organization
Contact information
Practice address
14313 GREENFIELD RD, DETROIT, MI 48227-2107
(313) 272-0202
(313) 272-0924
Mailing address
14313 GREENFIELD RD, DETROIT, MI 48227-2107
(313) 272-0202
(313) 272-0924
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301010055
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2377871
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/25/2013
Last updated
03/25/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up