Organization
FOUNTAIN LAKE FAMILY PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DAVID BUTLER PHARMD (OWNER)
(501) 547-3400
Entity
Organization
Contact information
Practice address
4517 PARK AVE, SUITE B, HOT SPRINGS, AR 71901
(501) 547-3400
(844) 805-7790
Mailing address
4517 PARK AVE, SUITE B, HOT SPRINGS, AR 71901
(501) 547-3400
(844) 805-7790
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
06/13/2019
Last updated
07/21/2020
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