| Provider / Organization | NPI | Date Certified |
|---|---|---|
| THEOTUS BUTLER | 1407450331 | 2020-11-22 |
Theotus Butler is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1407450331. Registration indicates Theotus Butler is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
| Entity Type | Individual |
| Provider Name | Theotus Butler |
| Practice Office Address | 1622 S LUMPKIN RD COLUMBUS, GA US |
| Practice Office Telephone | 7066825282 |
| Practice Office Fax | 7066823547 |
| Mailing Address | 1622 S LUMPKIN RD COLUMBUS, GA 319032720 US |
| Business Telephone | 6787255797 |
| Business Fax | 7066825282 |
| CONNECT URL [] | [email protected] | Health Information Exchange (HIE) |
| Code | Practice | License No State |
|---|---|---|
| 183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | 018199
GA |