Organization
BUTT DRUGS, INC.
Active
Other names
Butt Drugs, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE BUTT BECKORT BS MNGMT, C.PHT (MGR/PRESIDENT/OWNER)
(812) 738-3272
Entity
Organization
Contact information
Practice address
115 E CHESTNUT ST, CORYDON, IN 47112-1105
(812) 738-3272
(812) 738-1406
Mailing address
115 E CHESTNUT ST, CORYDON, IN 47112-1105
(812) 738-3272
(812) 738-1406
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
60002453A
IN
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100296830A
—
IN
01
—
2024311
PK
—
Enumeration date
08/26/2005
Last updated
02/21/2022
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