Individual
LARA DAESCHER BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1037 S EUFAULA AVE, EUFAULA, AL 36027-2701
(334) 687-8781
(334) 687-8725
Mailing address
1037 S EUFAULA AVE, EUFAULA, AL 36027-2701
(334) 687-8781
(334) 687-8725
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
12573
NC
183500000X
Pharmacist
Primary
15207
AL
Other
Enumeration date
08/21/2010
Last updated
08/21/2010
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