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Organization

BUTLER PHARMACY INC

Active
Other names
Butler Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
DAVE CHILDERS (PRESIDENT/CEO/OWNER)
(660) 679-4175
Entity
Organization

Contact information

Practice address
11 S ORANGE ST, BUTLER, MO 64730-1805
(660) 679-4175
(660) 679-6088
Mailing address
11 S ORANGE ST, BUTLER, MO 64730-1805
(660) 679-4175
(660) 679-6088

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
003510
MO
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100438870A
KS
01
2613467
NCPDP PROVIDER IDENTIFICATION NUMBER
05
60074470
MO
Enumeration date
05/23/2005
Last updated
03/13/2013
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