Provider Demographics
NPI:1255628129
Name:BUTLER, DAVID JAMES (PHARMACIST)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:JAMES
Last Name:BUTLER
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4015 SCENIC RIVER LN
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93308-7502
Mailing Address - Country:US
Mailing Address - Phone:661-301-9048
Mailing Address - Fax:
Practice Address - Street 1:4015 SCENIC RIVER LN
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-7502
Practice Address - Country:US
Practice Address - Phone:661-301-9048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-29
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21432183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist