Boothby, Lisa Anne

Boothby, Lisa Anne is an sole proprietor health care provider with primary practice located at 275 W 12Th St , Peru IN 46970-1638. She recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as her primary health care specialty. Boothby, Lisa Anne can be contacted via phone (765) 472-8004.

Contact Information

Primary practice address
275 W 12Th St Peru IN 46970-1638
Phone: (765) 472-8004
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X RPH020650 Georgia
Pharmacy Service Providers / Pharmacotherapy 1835P1200X PS34954 Florida
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 26023438A Indiana

Profile Details

NPI number 1477607828
LBN Legal business name Boothby, Lisa Anne
Credentials PHARM.D., BCPS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2007
Last updated Dec 20th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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