Individual
GREG BUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11420 LACKLAND RD, SAINT LOUIS, MO 63146-3559
(314) 994-9900
Mailing address
987 CENTURY OAKS DR, MANCHESTER, MO 63021-6921
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2017029980
MO
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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