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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0048975
—
IA
Enumeration date
07/15/2026
Last updated
07/15/2026
Update your record
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