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Contact Information

CLINTON BUTLER, LLC
2526 HIGHWAY 65 S
CLINTON, AR72031
 Phone: 501-745-8414
 Fax: 501-745-8282
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CLINTON BUTLER, LLC

NPI # 1699730275
LBN Legal business name CLINTON BUTLER, LLC
Authorized official TODD BEAGLE - (OPERATIONS MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/18/2006
Last updated 08/02/2018 - About 8 years ago
Identifiers
AR License # AR12116
AR Medicaid 100759407
AR Medicaid 117162716
AR Other 0412116 NABP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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