MEDICARE: DR. CLARK DAVID BUTLER PHARMD, MBA

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	23256	TX
2	183500000X	Pharmacist	044890	MO
3	183500000X	Pharmacist	0202215621	VA

General Provider Information

NPI Number	:	1194966952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CLARK DAVID BUTLER PHARMD, MBA

Provider Business Mailing Address
First Line	:	9458 CREEK SUMMIT CIR
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23235-4277
Country	:	US
Telephone Number	:	314-369-2988
Fax Number	:

Provider Business Practice Location Address
First Line	:	9458 CREEK SUMMIT CIR
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23235-4277
Country	:	US
Telephone Number	:	314-369-2988
Fax Number	:	636-230-2988

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

Provider Enumeration Date	:	03/09/2009
Last Update Date	:	11/27/2017

Similar Medicare Providers

1366729493 — DIANE JACKSON LCSW
Practice Location Address:

9416 CREEK SUMMIT CIR
RICHMOND, VA
23235-4277

Practice Phone: 804-819-4000
Practice Fax: 804-819-5221

1386649515 — DR. ALAN M MEYERBERG D.P.M.
Practice Location Address:

4277 RICHMOND AVE
STATEN ISLAND, NY
10312-6241

Practice Phone: 718-948-3788
Practice Fax: 718-948-1394

1538326723 — DR. ALAN MEYERBERG
Practice Location Address:

4277 RICHMOND AVE
STATEN ISLAND, NY
10312-6241

Practice Phone: 718-948-3788
Practice Fax: 718-948-1394

1356584353 — ANU SAMPAT M.D. P.C.
Practice Location Address:

4277 RICHMOND AVE
STATEN ISLAND, NY
10312-6241

Practice Phone: 718-227-1282
Practice Fax:

1851738090 — CHRISTOPHER JOEL KNIGHT DC
Practice Location Address:

6171 RICHMOND RD
WARSAW, VA
22572-4277

Practice Phone: 804-333-3269
Practice Fax:

1912316209 — SAV ENDOSCOPY PC
Practice Location Address:

4277 RICHMOND AVE
STATEN ISLAND, NY
10312-6241

Practice Phone: 718-227-1282
Practice Fax:

Directions to “ DR. CLARK DAVID BUTLER PHARMD, MBA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.