Most Relevant Information
Provider Data
| NPI Number: | 1003218488 |
| Provider Name: | MEGAN BUTLER |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PS51960 |
Most Important Dates
| Enumeration Date: | 09/17/2014 |
| Last Updated: | 09/17/2014 |
Provider Practice Location
2261 W NEW HAVEN AVE
MELBOURNE
FL
329043805
Practice Location Phone/Fax
| Phone: | 3216760173 |
| Fax: |
Provider Mailing Location
245 LAGO CIR
APT 302
MELBOURNE
FL
329043369
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |