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MR. JONATHAN ARTHUR BUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
3750 OLD LEE HIGHWAY, FAIRFAX, VA 22030
(703) 276-7113
(703) 246-5304
Mailing address
2151 JAMIESON AVE, #2101, ALEXANDRIA, VA 22314
(703) 625-6475

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202010874
VA

Other

Enumeration date
09/27/2006
Last updated
07/08/2007
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