Provider Demographics
NPI:1821169764
Name:BUTCHER, ALLISON CARRIE (PHARMD)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:CARRIE
Last Name:BUTCHER
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 1:901 S FLAGLER DR
Mailing Address - Street 2:GREGORY SCHOOL OF PHARMACY
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33416-4708
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:901 S FLAGLER DR
Practice Address - Street 2:GREGORY SCHOOL OF PHARMACY
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33416-4708
Practice Address - Country:US
Practice Address - Phone:561-803-2705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302034037183500000X
FLPS40705183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist