NPI | 1952343485 |
---|---|
Doing Business As | BOOTH PHARMACY INC |
Entity Type | Organization |
Authorized Contact | MATT HUMMEL Owner 712-551-2374 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 454) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-06-11 |
Last Update Date | 2016-12-21 |