MEDICARE: MS. SHERRY LYNN BUTLER RPH

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	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	MD13883	MD

General Provider Information

NPI Number	:	1831324516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHERRY LYNN BUTLER RPH

Provider Business Mailing Address
First Line	:	3 LEEDS RD
Second Line	:
City	:	HANOVER
State	:	MD
Zip	:	21076-1457
Country	:	US
Telephone Number	:	410-760-5850
Fax Number	:	410-760-5770

Provider Business Practice Location Address
First Line	:	8048 RITCHIE HWY
Second Line	:
City	:	PASADENA
State	:	MD
Zip	:	21122-1084
Country	:	US
Telephone Number	:	410-760-5850
Fax Number	:	410-760-5770

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

Provider Enumeration Date	:	05/24/2009
Last Update Date	:	05/24/2009

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