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NPI Code Detail

MEDICARE: STACY LYN SHONTZ-BUTTERY PHARMD

MEDICARE: STACY LYN SHONTZ-BUTTERY PHARMD
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
1183500000XPharmacistS015433AZ
2183500000XPharmacistRP440106PA

General Provider Information

NPI Number : 1104156348
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACY LYN SHONTZ-BUTTERY PHARMD
Provider Business Mailing Address
First Line : 2737 E MCKELLIPS RD
Second Line :
City : MESA
State : AZ
Zip : 85213-3016
Country : US
Telephone Number : 480-835-0970
Fax Number : 480-898-1562
Provider Business Practice Location Address
First Line : 2737 E MCKELLIPS RD
Second Line :
City : MESA
State : AZ
Zip : 85213-3016
Country : US
Telephone Number : 480-835-0970
Fax Number : 480-898-1562
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2010
Last Update Date : 01/11/2010

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Directions to “ STACY LYN SHONTZ-BUTTERY PHARMD” Practice Location

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