Healthcare Provider Details

I. General information

NPI: 1144314550
Provider Name (Legal Business Name): BUTLER PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 09/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 BRIDGE AVE
POINT PLEASANT BORO NJ
08742-4329
US

IV. Provider business mailing address

PO BOX 627
PT PLEASANT NJ
08742-0627
US

V. Phone/Fax

Practice location:
  • Phone: 732-892-4488
  • Fax: 732-892-8014
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number28RS00230100
License Number StateNJ

VIII. Authorized Official

Name: TRACY STEEL
Title or Position: VP
Credential:
Phone: 732-892-4488