Provider Demographics
NPI:1073518841
Name:BUTTERFIELD-HOOLEY, DAWN ALISON (RPH)
Entity type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:ALISON
Last Name:BUTTERFIELD-HOOLEY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 GRANADA AVE
Mailing Address - Street 2:
Mailing Address - City:MERRITT ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32952-5039
Mailing Address - Country:US
Mailing Address - Phone:321-459-2201
Mailing Address - Fax:321-459-2204
Practice Address - Street 1:1115 GRANADA AVE
Practice Address - Street 2:
Practice Address - City:MERRITT ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32952-5039
Practice Address - Country:US
Practice Address - Phone:321-459-2201
Practice Address - Fax:321-459-2201
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS36746183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist