Provider Demographics
NPI:1811272958
Name:BUTLER, BILL (RPH)
Entity type:Individual
Prefix:MR
First Name:BILL
Middle Name:
Last Name:BUTLER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:MR
Other - First Name:BILL
Other - Middle Name:
Other - Last Name:BUTLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:6965 N HAYDEN RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85250-7969
Mailing Address - Country:US
Mailing Address - Phone:480-991-9557
Mailing Address - Fax:480-998-8371
Practice Address - Street 1:6965 N HAYDEN RD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85250-7969
Practice Address - Country:US
Practice Address - Phone:480-991-9557
Practice Address - Fax:480-998-8371
Is Sole Proprietor?:No
Enumeration Date:2011-10-20
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5541183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist