Provider Demographics
NPI:1780270892
Name:BUTLER, JAMES FLOYD
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:FLOYD
Last Name:BUTLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 JO LYNN DR
Mailing Address - Street 2:
Mailing Address - City:JUNCTION
Mailing Address - State:TX
Mailing Address - Zip Code:76849-3333
Mailing Address - Country:US
Mailing Address - Phone:210-442-8757
Mailing Address - Fax:
Practice Address - Street 1:1610 MAIN ST
Practice Address - Street 2:
Practice Address - City:JUNCTION
Practice Address - State:TX
Practice Address - Zip Code:76849-3518
Practice Address - Country:US
Practice Address - Phone:325-446-2511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-14
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19595183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist