MEDICARE: ERIN L BUTERA

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	04035	RI

General Provider Information

NPI Number	:	1750973327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN L BUTERA

Provider Business Mailing Address
First Line	:	2790 POST RD
Second Line	:
City	:	WARWICK
State	:	RI
Zip	:	02886-3113
Country	:	US
Telephone Number	:	401-739-3173
Fax Number	:	401-738-9945

Provider Business Practice Location Address
First Line	:	2790 POST RD
Second Line	:
City	:	WARWICK
State	:	RI
Zip	:	02886-3113
Country	:	US
Telephone Number	:	401-739-3173
Fax Number	:	401-738-9945

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

Provider Enumeration Date	:	02/05/2021
Last Update Date	:	02/05/2021

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Directions to “ ERIN L BUTERA ” Practice Location

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