Individual
RYAN BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1983 S MISSISSIPPI AVE, ATOKA, OK 74525
(580) 889-3000
Mailing address
17869 E HIGHWAY 3, ATOKA, OK 74525-4871
(580) 364-3950
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
18029
OK
1835N0905X
Nuclear Pharmacist
18029
OK
1835N0905X
Nuclear Pharmacist
Primary
61363
TX
Other
Enumeration date
11/26/2018
Last updated
12/27/2018
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