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CHAD ERIC BOOTH R.PH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1477861920

Individual Registrant:
 CHAD ERIC BOOTH R.PH
Gender: M
Not Sole Proprietor

Location and contact information for practice:
7271 WALL TRIANA HWY  MADISON, AL 35757-8002 US
Tel: 256-837-5522  Fax: --

Contact information for business:
7271 WALL TRIANA HWY  MADISON, AL 35757-8002 US
Tel: 256-837-5522  Fax: --

Registration Information:
NPI: 1477861920
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
AL12293

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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