Provider Demographics
NPI:1700599016
Name:BUCKMAN, ABBEY MCARA
Entity Type:Individual
Prefix:
First Name:ABBEY
Middle Name:MCARA
Last Name:BUCKMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 SW RIVER BEND CIR
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-7448
Mailing Address - Country:US
Mailing Address - Phone:561-445-3198
Mailing Address - Fax:
Practice Address - Street 1:3754 SE OCEAN BLVD STE B
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34996-6700
Practice Address - Country:US
Practice Address - Phone:772-600-8077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-02
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL47021183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist