Individual
TIMOTHY A BUTTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
7765 GALPIN BLVD, CHANHASSEN, MN 55317-9463
(952) 474-6623
(952) 474-8816
Mailing address
7765 GALPIN BLVD, CHANHASSEN, MN 55317-9463
(952) 474-6623
(952) 474-8816
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
119390
MN
Other
Enumeration date
05/29/2020
Last updated
05/29/2020
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