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NPI Code Detail

MEDICARE: H E BUTT GROCERY COMPANY

MEDICARE: H E BUTT GROCERY COMPANY
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
13336C0003XCommunity/Retail PharmacyTX

General Provider Information

NPI Number : 1033344585
Entity Type Code : Organization
Provider Name (Legal Business Name) : H E BUTT GROCERY COMPANY
Provider Business Mailing Address
First Line : 646 S MAIN AVE
Second Line : SOUTH 1/PHARMACY
City : SAN ANTONIO
State : TX
Zip : 78204-1210
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6520 FRATT RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78218-4402
Country : US
Telephone Number : 210-938-7694
Fax Number :
Authorized Official
Title or Position : DIRECTOR, 3RD PARTY
Name : CHARLENE CURRY
Credential :
Telephone Number : 210-938-8578
Provider Enumeration Date : 05/27/2009
Last Update Date : 06/23/2009

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Directions to “H E BUTT GROCERY COMPANY ” Practice Location

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