Individual
DARREN HANK BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4257 YELLOWSTONE AVE, CHUBBUCK, ID 83202-2419
(208) 237-3940
Mailing address
3954 HAWTHORNE RD APT B2, POCATELLO, ID 83201-5973
(208) 932-5725
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P10713
ID
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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