Individual
MACEY ELIZABETH BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, BCPS
Contact information
Practice address
43 SMITH RD, NEWPORT, RI 02841-1006
(909) 825-7084
Mailing address
43 SMITH RD, NEWPORT, RI 02841-1006
(401) 841-1924
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
80046
CA
Other
Enumeration date
03/23/2020
Last updated
01/15/2021
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