Organization
BUTLER DRUG STORE INC
Active
Parent organization
BUTLER DRUG STORE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BUTLER DRUG STORE INC
Authorized official
DR. DONALD RONE PHARMD (OWNER)
57337795460
Entity
Organization
Contact information
Practice address
222 E MAIN ST, PORTAGEVILLE, MO 63873-1614
(573) 379-5460
(573) 379-5459
Mailing address
222 E MAIN ST, PORTAGEVILLE, MO 63873-1614
(573) 379-5460
(573) 379-5459
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620201400
—
AR
Enumeration date
11/20/2008
Last updated
11/20/2008
Update your record
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