Organization
BUTASH PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL JOSEPH BUTASH PHARMACIST (OWNER)
(570) 489-2331
Entity
Organization
Contact information
Practice address
319 GEORGE ST, THROOP, PA 18512-1234
(570) 489-2331
(570) 489-4791
Mailing address
319 GEORGE ST, THROOP, PA 18512-1234
(570) 489-2331
(570) 489-4791
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP410314L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120063130001
—
PA
01
—
3960730
FED NABP #
—
01
—
BB2374368
FED DEP #
—
01
—
PP418714L
PA LICENSE #
—
Enumeration date
08/13/2006
Last updated
08/22/2020
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