Individual
FAVEN BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 555-5000
Mailing address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202219821
VA
Other
Enumeration date
08/09/2021
Last updated
08/16/2025
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