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NPI Code Detail

MEDICARE: MRS. BETH NICOLE BUTCHER RPH

MEDICARE:  MRS. BETH NICOLE BUTCHER  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
1183500000XPharmacist03-1-20805OH

General Provider Information

NPI Number : 1063413391
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BETH NICOLE BUTCHER RPH
Provider Business Mailing Address
First Line : 09220 SCHUMAN RD
Second Line :
City : WAPAKONETA
State : OH
Zip : 45895-8472
Country : US
Telephone Number : 937-539-6600
Fax Number :
Provider Business Practice Location Address
First Line : 101B E PIKE ST
Second Line :
City : JACKSON CENTER
State : OH
Zip : 45334-6000
Country : US
Telephone Number : 937-596-8100
Fax Number : 937-596-8108
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 04/11/2025

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Directions to “ MRS. BETH NICOLE BUTCHER RPH” Practice Location

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