NPI 1013291814

Cory Butler, PHARMD

Practitioner Pharmacist Longmont, CO

Practice location

Address: 1041 N Main St, Longmont, CO 80501-4302
Phone: (303) 772-1111
Fax: (303) 772-4247
Mailing address: 714 Stonington Ln, Fort Collins, CO 80525-8288

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 17495 (CO)

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Registry record

NPI: 1013291814
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Sep 2011
Record last updated: 29 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.