Provider Demographics
NPI:1831472174
Name:BUTT, KAR-KIT (RPH)
Entity Type:Individual
Prefix:MR
First Name:KAR-KIT
Middle Name:
Last Name:BUTT
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 1:412 BRIDLE CT
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94582-5950
Mailing Address - Country:US
Mailing Address - Phone:925-828-6593
Mailing Address - Fax:925-828-6591
Practice Address - Street 1:2900 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94597-2035
Practice Address - Country:US
Practice Address - Phone:925-933-0307
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-22
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26205183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist