Individual
DR. GOODY BUTAY CACAL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
635 MAIN ST, GREEN BAY, WI 54301-4918
(920) 437-0206
Mailing address
1635 SWAN RD APT 7, DE PERE, WI 54115-4036
(808) 497-4421
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19599-40
WI
Other
Enumeration date
10/05/2018
Last updated
10/05/2018
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