Individual
BRENDA BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1230 7TH AVE, LONGVIEW, WA 98632-3166
(360) 636-6226
Mailing address
PO BOX 79, VADER, WA 98593-0079
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00039238
WA
Other
Enumeration date
01/11/2008
Last updated
01/11/2008
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