MEDICARE: DR. RAYNARD BUTLER PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RPH028571	GA

General Provider Information

NPI Number	:	1477405744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAYNARD BUTLER PHARMD

Provider Business Mailing Address
First Line	:	1335 CALLAHAN CV
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30316-3365
Country	:	US
Telephone Number	:	334-546-9531
Fax Number	:

Provider Business Practice Location Address
First Line	:	5440 HILLANDALE DR
Second Line	:
City	:	LITHONIA
State	:	GA
Zip	:	30058-4865
Country	:	US
Telephone Number	:	770-322-2737
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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