Individual
GARY JAMES BUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
107 KINSLEY DR, BRODHEADSVILLE, PA 18322-7800
(570) 402-0786
(570) 992-1668
Mailing address
272 SWITZGABEL DR, BRODHEADSVILLE, PA 18322-7122
(570) 992-5288
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP027982L
PA
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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