Individual
RICHARD LOGAN BUTERBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5605 UNIVERSITY TOWN CENTRE DR, MORGANTOWN, WV 26501-2473
(304) 598-3404
Mailing address
5605 UNIVERSITY TOWN CENTRE DR, MORGANTOWN, WV 26501-2473
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0006645
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F743402
DRIVERS LIC
WV
Enumeration date
03/05/2019
Last updated
03/05/2019
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