Provider Demographics
NPI:1558602367
Name:BUTLER, BILLY PAT (RPH)
Entity type:Individual
Prefix:
First Name:BILLY
Middle Name:PAT
Last Name:BUTLER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 19TH ST
Mailing Address - Street 2:
Mailing Address - City:HONDO
Mailing Address - State:TX
Mailing Address - Zip Code:78861-2504
Mailing Address - Country:US
Mailing Address - Phone:830-426-5312
Mailing Address - Fax:830-426-5342
Practice Address - Street 1:609 19TH ST
Practice Address - Street 2:
Practice Address - City:HONDO
Practice Address - State:TX
Practice Address - Zip Code:78861-2504
Practice Address - Country:US
Practice Address - Phone:830-426-5312
Practice Address - Fax:830-426-5342
Is Sole Proprietor?:No
Enumeration Date:2013-03-05
Last Update Date:2013-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18320183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist