Organization
CLINTON BUTLER, LLC
Active
Other names
Clinton Drug
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BUTLER PHARMD (PRESIDENT)
(479) 783-5171
Entity
Organization
Contact information
Practice address
2526 HIGHWAY 65 S, CLINTON, AR 72031-6657
(501) 745-3784
(501) 745-8282
Mailing address
2526 HIGHWAY 65 S, CLINTON, AR 72031-6657
(501) 745-3784
(501) 745-8282
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MG01810
AR
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
MG01810
AR
332BX2000X
Oxygen Equipment & Supplies (DME)
MG01810
AR
335E00000X
Prosthetic/Orthotic Supplier
MG01810
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0412116
NCPDP
AR
Enumeration date
06/26/2018
Last updated
06/26/2018
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