Provider Demographics
NPI:1609917319
Name:BUTLER, WILLIAM RHETT (RPH)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:RHETT
Last Name:BUTLER
Suffix:
Gender:M
Credentials:RPH
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 159
Mailing Address - Street 2:
Mailing Address - City:CHERAW
Mailing Address - State:SC
Mailing Address - Zip Code:29520-0159
Mailing Address - Country:US
Mailing Address - Phone:843-537-3801
Mailing Address - Fax:843-537-0170
Practice Address - Street 1:700 CHESTERFIELD HWY
Practice Address - Street 2:
Practice Address - City:CHERAW
Practice Address - State:SC
Practice Address - Zip Code:29520-0159
Practice Address - Country:US
Practice Address - Phone:843-537-3801
Practice Address - Fax:843-537-0170
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC004127183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC004127OtherS C PHARMACIST LICENSE NO