Booth Pharmacy Inc

LBN: Booth Pharmacy Inc
Booth Pharmacy Inc is an health care organization with primary practice located at 903 Central Ave , Hawarden IA 51023-2233. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Booth Pharmacy Inc can be contacted via phone (712) 551-2374, or through Hummel, Matt via phone (712) 551-2374.

Contact Information

Primary practice address
903 Central Ave Hawarden IA 51023-2233
Phone: (712) 551-2374
Fax: (712) 551-1590
Website:
Map and Directions
Authorized official contact:
Name: Hummel, Matt RPH
Phone: (712) 551-2374

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 454 Iowa

Profile Details

NPI number 1952343485
LBN Legal business name Booth Pharmacy Inc
DBA Doing business as Booth Pharmacy Inc
Authorized official Hummel, Matt RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2006
Last updated Dec 21st, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952343485 NPPES
Other 2026597 PK
MEDICAID 0048975 PK
MEDICAID 8532660 PK

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