Provider Demographics
NPI:1831805738
Name:BUKY, BARRETT LLOYD (PHARMD)
Entity type:Individual
Prefix:
First Name:BARRETT
Middle Name:LLOYD
Last Name:BUKY
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 BLANKENBAKER PKWY
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299-2478
Mailing Address - Country:US
Mailing Address - Phone:855-647-7379
Mailing Address - Fax:855-774-3879
Practice Address - Street 1:2700 BLANKENBAKER PKWY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40299-2478
Practice Address - Country:US
Practice Address - Phone:855-647-7379
Practice Address - Fax:855-774-3879
Is Sole Proprietor?:No
Enumeration Date:2023-01-25
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY016081183500000X
IN26025459A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist