MEDICARE: MRS. DAWN ALISON BUTTERFIELD-HOOLEY 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	183500000X	Pharmacist	PS36746	FL

General Provider Information

NPI Number	:	1073518841
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DAWN ALISON BUTTERFIELD-HOOLEY RPH.

Provider Business Mailing Address
First Line	:	1115 GRANADA AVE
Second Line	:
City	:	MERRITT ISLAND
State	:	FL
Zip	:	32952-5039
Country	:	US
Telephone Number	:	321-459-2201
Fax Number	:	321-459-2204

Provider Business Practice Location Address
First Line	:	1115 GRANADA AVE
Second Line	:
City	:	MERRITT ISLAND
State	:	FL
Zip	:	32952-5039
Country	:	US
Telephone Number	:	321-459-2201
Fax Number	:	321-459-2201

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	07/08/2007

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