<Unavail>

LBN: Clinton Butler
<Unavail> is an health care organization with primary practice located at 2526 Highway 65 S Suite 101, Clinton AR 72031-6657. The organization recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Clinton Butler can be contacted via phone (501) 745-8414, or through Butler, Michael via phone (501) 745-8414.

Contact Information

Primary practice address
2526 Highway 65 S Suite 101 Clinton AR 72031-6657
Phone: (501) 745-8414
Fax: (501) 745-8282
Website:
Map and Directions
Authorized official contact:
Name: Butler, Michael
Phone: (501) 745-8414

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X AR12116 Arkansas
Suppliers / Community/Retail Pharmacy 3336C0003X AR12116 Arkansas

Profile Details

NPI number 1053492405
LBN Legal business name Clinton Butler
DBA Doing business as <Unavail>
Authorized official Butler, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2006
Last updated Aug 28th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053492405 NPPES
Arkansas Other AR12116 STATE LICENSE
Arkansas Other 0412116 STATE LICENSE

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