Provider Demographics
NPI:1699007666
Name:BUTLER, CHARLA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:CHARLA
Middle Name:
Last Name:BUTLER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5020 THE OAKS CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32809-3049
Mailing Address - Country:US
Mailing Address - Phone:407-438-4743
Mailing Address - Fax:407-438-4743
Practice Address - Street 1:5020 THE OAKS CIR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-3049
Practice Address - Country:US
Practice Address - Phone:407-438-4743
Practice Address - Fax:407-438-4743
Is Sole Proprietor?:No
Enumeration Date:2010-02-02
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS20676183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist