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BUCKLEY'S PHARMACY #102
NPI 1962764506
Pharmacy - Community/Retail Pharmacy in Hazel Park, MI

Active since June 11, 2012
20721 DEQUINDRE RD STE B, HAZEL PARK, MI 48030(248) 808-6505(248) 808-6351 Get Directions Write a Review

NPPES record last updated: April 5, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Buckley's Pharmacy #102 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BUCKLEY'S PHARMACY #102 (NPI 1962764506) is a healthcare organization registered as a community/retail pharmacy in Hazel Park, Michigan and active in the NPI registry since June 2012. The organization lists Anthony Cole, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1962764506
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameBUCKLEYS PHARMACY OF HAZEL PARK LLC
Location Address20721 DEQUINDRE RD STE BHazel Park, MI 48030-2633
Mailing Address20721 Dequindre Rd, Suite BHazel Park, MI 48030-2633 · (248) 808-6505 · Fax (248) 808-6351
Phone(248) 808-6505
Fax(248) 808-6351
Organization SubpartNo
Authorized OfficialAnthony ColeManaging Member · (313) 971-5030
Enumeration DateJune 11, 2012
Last NPPES UpdateApril 5, 2016
✔ NPI 1962764506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MI · 5301009840
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
20721 DEQUINDRE RD STE B, Hazel Park, MI 48030
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Other Names 1

Doing Business AsBuckley's Pharmacy #102

Other Identifiers 2

Other2135482Pk
Medicaid2376867MI

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Buckleys Pharmacy Of Hazel Park LLC's NPI number?

The NPI number for Buckleys Pharmacy Of Hazel Park LLC is 1962764506. It was assigned to this organization in the NPPES registry on June 11, 2012. The provider is doing business as Buckley's Pharmacy #102.

Where is Buckleys Pharmacy Of Hazel Park LLC located?

Buckleys Pharmacy Of Hazel Park LLC is located at 20721 Dequindre Rd Ste B, Hazel Park, MI 48030. The listed phone number is (248) 808-6505.

What is Buckleys Pharmacy Of Hazel Park LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Buckleys Pharmacy Of Hazel Park LLC was last updated on April 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.