Individual provider · NPI-1

Dr. Kenneth Patrick Buckley, PharmD

Pharmacist · Mankato, MN

NPI number1013538818
StatusActive
Last updated in NPPESMay 3, 2020

Details

NPI
1013538818
Entity type
Individual (NPI-1)
Name
Dr. Kenneth Patrick Buckley
Credential
PharmD
Sex
Male
Sole proprietor
No
Enumeration date
May 3, 2020
Certification date
May 3, 2020
Last updated
May 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist120201MNYes

Practice location

1175 Madison Ave
Mankato, MN 56001-5227

Phone 507-625-1791 · Fax 507-625-9262

Mailing address

1175 Madison Ave
Mankato, MN 56001-5227

Phone 507-625-1791 · Fax 507-625-9262

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