Individual
FRED DAVID BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1010 OLD BARNWELL RD, WEST COLUMBIA, SC 29170-3406
(803) 358-0612
Mailing address
106 LAND STONE CIR, IRMO, SC 29063-9260
(803) 749-1374
(803) 749-1374
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
004247
SC
Other
Enumeration date
05/21/2007
Last updated
02/28/2011
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