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Organization
BOOTH PHARMACY INC
Active
Organization
BOOTH PHARMACY INC
Active
Parent organization
BOOTH PHARMACY INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOOTH PHARMACY INC
Authorized official
MATT HUMMEL (OWNER)
(712) 551-2374
Entity
Organization
Contact information
Practice address
903 CENTRAL AVE, HAWARDEN, IA 51023-2233
(712) 551-2374
(712) 551-1590
Mailing address
PO BOX 233, HAWARDEN, IA 51023-0233
(712) 551-2374
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0048975
—
IA
Enumeration date
07/15/2026
Last updated
07/15/2026
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