Organization
COLEMAN BUTLER FT SMITH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BUTLER (PRESIDENT)
(479) 783-5171
Entity
Organization
Contact information
Practice address
3610 GRAND AVE, FORT SMITH, AR 72904
(479) 783-5171
(479) 783-0433
Mailing address
3610 GRAND AVE, FORT SMITH, AR 72904
(479) 783-5171
(479) 783-0433
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
229946407
—
AR
Enumeration date
07/19/2023
Last updated
07/19/2023
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