Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LISA ANNE BOOTHBY, PHARM.D., BCPS
Active Sole ProprietorDR. LISA ANNE BOOTHBY, PHARM.D., BCPS is a Pharmacotherapy Specialist healthcare provider located in PERU, Indiana. NPI 1477607828 is currently active in the NPPES registry. Verify at CMS.
Pharmacotherapy Specialist · PERU, IN
Registration Details
- NPI Number
- 1477607828
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 23, 2007 (19.515777895268 yrs)
- Last Updated
- Dec 20, 2010
- Licenses
-
RPH020650 (GA)PS34954 (FL)26023438A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
275 W 12TH STPERU, IN, 469701638Browse IN providers · Browse ZIP 46970
- Phone
- 7654728004
- Primary Specialty
-
Pharmacotherapy Specialist
1835P1200X
- Additional Specialty
- Pharmacotherapy Specialist
- Additional Specialty
- Pharmacotherapy Specialist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.