# BOOTH PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BOOTH PHARMACY INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1396665949
- **Legal business name:** BOOTH PHARMACY INC
- **Authorized official:** MATT HUMMEL (OWNER)
- **Authorized official phone:** (712) 551-2374

## Contact information

- **Practice address:** 903 CENTRAL AVE, HAWARDEN, IA 51023-2233
- **Practice address phone:** (712) 551-2374
- **Practice address fax:** (712) 551-1590
- **Mailing address:** PO BOX 233, HAWARDEN, IA 51023-0233
- **Mailing address phone:** (712) 551-2374

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/15/2026
- **Last updated:** 07/15/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0048975 | — | IA |