Provider Demographics
NPI:1598362048
Name:BUTTS, CIARA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CIARA
Middle Name:
Last Name:BUTTS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 403
Mailing Address - Street 2:
Mailing Address - City:HONOMU
Mailing Address - State:HI
Mailing Address - Zip Code:96728-0403
Mailing Address - Country:US
Mailing Address - Phone:808-333-7032
Mailing Address - Fax:
Practice Address - Street 1:1964 UHALOA RD
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-1431
Practice Address - Country:US
Practice Address - Phone:808-345-4516
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-07
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI4419183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist