Individual
KELLY BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
100 N AIRPORT RD, JASPER, AL 35504-7520
(205) 221-3150
Mailing address
1401 1ST AVE E, JASPER, AL 35501-4732
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14258
AL
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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