Provider Demographics
NPI:1669705174
Name:BUTTS, CURTIS WAYNE (RPH)
Entity type:Individual
Prefix:
First Name:CURTIS
Middle Name:WAYNE
Last Name:BUTTS
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 1:852 SUNSET BLVD N
Mailing Address - Street 2:
Mailing Address - City:SUNSET BEACH
Mailing Address - State:NC
Mailing Address - Zip Code:28468-4262
Mailing Address - Country:US
Mailing Address - Phone:910-579-4503
Mailing Address - Fax:910-579-1269
Practice Address - Street 1:852 SUNSET BLVD N
Practice Address - Street 2:
Practice Address - City:SUNSET BEACH
Practice Address - State:NC
Practice Address - Zip Code:28468-4262
Practice Address - Country:US
Practice Address - Phone:910-579-4503
Practice Address - Fax:910-579-1269
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-15
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17431183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist