Individual
DR. COLBY SHANE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2001 W WASHINGTON ST, SPRINGFIELD, IL 62702-4628
(217) 546-8610
Mailing address
2001 W WASHINGTON ST, SPRINGFIELD, IL 62702-4628
(217) 546-8610
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.303523
IL
Other
Enumeration date
11/29/2020
Last updated
11/29/2020
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