Individual
STACEY BUTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
230 W OAK ST, FREMONT, MI 49412-1526
(231) 924-4200
(616) 267-9046
Mailing address
27 W WOOD ST, NEWAYGO, MI 49337-8992
(458) 226-9044
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
27224
NC
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
5302414596
MI
Other
Enumeration date
07/28/2017
Last updated
05/22/2024
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