Healthcare Provider Details

I. General information

NPI: 1649798661
Provider Name (Legal Business Name): KATHERINE ANN BUTLER PHARMD, RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KATHERINE ANN ANDERSON PHARMD, RPH

II. Dates (important events)

Enumeration Date: 08/30/2017
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10575 KENAI-SPUR HWY
KENAI AK
99611
US

IV. Provider business mailing address

PO BOX 904
KENAI AK
99611
US

V. Phone/Fax

Practice location:
  • Phone: 907-335-2061
  • Fax:
Mailing address:
  • Phone: 907-841-6185
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number1871
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: