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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
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