Provider Demographics
NPI:1023846417
Name:BUTLER, SYDNEY ALLYSON (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SYDNEY
Middle Name:ALLYSON
Last Name:BUTLER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 JULE INGRAM RD NE
Mailing Address - Street 2:
Mailing Address - City:MILLEDGEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31061-8958
Mailing Address - Country:US
Mailing Address - Phone:478-251-4764
Mailing Address - Fax:
Practice Address - Street 1:624 W MARTIN LUTHER KING JR DR
Practice Address - Street 2:
Practice Address - City:MILLEDGEVILLE
Practice Address - State:GA
Practice Address - Zip Code:31061-2787
Practice Address - Country:US
Practice Address - Phone:478-453-1806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-25
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH0329501835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology