Individual
MARY BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 N 12TH ST STE 125, MILWAUKEE, WI 53233-1306
(414) 219-3506
Mailing address
950 N 12TH ST STE 125, MILWAUKEE, WI 53233-1306
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10669
WI
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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