Individual
BONNIE BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1424 W CARMEL DR, CARMEL, IN 46032-8783
(317) 573-8310
Mailing address
1424 W CARMEL DR, CARMEL, IN 46032-8783
(317) 573-8310
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
26018552
IN
Other
Enumeration date
05/02/2014
Last updated
05/02/2014
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