Individual provider · Type 1 NPI

Gregory Tyler Booth, PharmD

Pharmacist · Springfield, IL

NPI number 1639779150 Active

Practice location

2760 N Dirksen Pkwy
Springfield, IL 62702-1448

Call (217) 522-4054 Map

Fax (217) 522-4075

Mailing address

2300 Gander Rd
Springfield, IL 62711-8199

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X59336 (TX)
Pharmacist Primary 183500000X051295476 (IL)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1639779150

Gregory Tyler Booth, PharmD's National Provider Identifier is 1639779150, issued on Oct 26, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Springfield, IL. The record was last updated on Oct 26, 2020.