Individual
DR. BROOKE DANIELLE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1826 VETERANS BLVD, DUBLIN, GA 31021-3620
(478) 272-1210
Mailing address
418 SOLOMONS LANE, DUBLIN, GA 31021
(229) 425-1637
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
120691
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120691
STATE PHARMACIST LICENSE
MN
Enumeration date
11/19/2011
Last updated
11/19/2011
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