Provider Demographics
NPI:1154357994
Name:BUTLER, LEAH MITCHELL (RPH)
Entity type:Individual
Prefix:MRS
First Name:LEAH
Middle Name:MITCHELL
Last Name:BUTLER
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:PO BOX 993
Mailing Address - Street 2:
Mailing Address - City:HALEYVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35565-0993
Mailing Address - Country:US
Mailing Address - Phone:205-486-7004
Mailing Address - Fax:
Practice Address - Street 1:42322 HIGHWAY 195
Practice Address - Street 2:
Practice Address - City:HALEYVILLE
Practice Address - State:AL
Practice Address - Zip Code:35565-7064
Practice Address - Country:US
Practice Address - Phone:205-486-3133
Practice Address - Fax:205-486-8966
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL9973183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist