Provider Demographics
NPI:1770028185
Name:BUTLER, ALAN ERIC (RPH)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:ERIC
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 1:7405 TARMAC WAY
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-0211
Mailing Address - Country:US
Mailing Address - Phone:615-521-9644
Mailing Address - Fax:
Practice Address - Street 1:7405 TARMAC WAY
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-0211
Practice Address - Country:US
Practice Address - Phone:615-521-9644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-21
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10674183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist