Provider Demographics
NPI:1184479719
Name:BUCKLER PHARMACY INC
Entity type:Organization
Organization Name:BUCKLER PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FAHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUSAFZAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-655-8636
Mailing Address - Street 1:1039 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11221-6790
Mailing Address - Country:US
Mailing Address - Phone:646-954-9492
Mailing Address - Fax:
Practice Address - Street 1:1039 BROADWAY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11221-6790
Practice Address - Country:US
Practice Address - Phone:646-954-9492
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-18
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy