MEDICARE: WILLIAM PAUL BUTLER 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	12024	AZ

General Provider Information

NPI Number	:	1447371406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM PAUL BUTLER RPH

Provider Business Mailing Address
First Line	:	7525 W HEARN RD
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85381-8501
Country	:	US
Telephone Number	:	623-334-4262
Fax Number	:	623-465-5141

Provider Business Practice Location Address
First Line	:	37900 N 45TH AVE DEPT 1680
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85086-7008
Country	:	US
Telephone Number	:	623-465-5140
Fax Number	:	623-465-5141

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

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	07/08/2007

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