Individual
MRS. KRISTY LOVE BUTEYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
904 W MAIN ST, WAUPUN, WI 53963-1201
(920) 324-3010
Mailing address
610 ROCK RIVER AVE, WAUPUN, WI 53963-1307
(920) 517-3810
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16389-40
WI
Other
Enumeration date
03/13/2013
Last updated
03/13/2013
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