Individual
CHARLES R BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4935 S ARLINGTON AVE, INDIANAPOLIS, IN 46237-3516
(317) 791-3822
Mailing address
3203 S LEONARD RD, NEW PALESTINE, IN 46163-9705
(317) 861-5045
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26013981A
IN
Other
Enumeration date
12/20/2020
Last updated
12/20/2020
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