Dr. Lisa Anne Boothby, Pharm.D., BCPS
Pharmacist, Pharmacotherapy in Peru, IN. Individual provider (NPI-1).
NPI number1477607828
StatusActive
Last updated in NPPESDec 20, 2010
Details
- NPI
- 1477607828
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lisa Anne Boothby
- Credential
- Pharm.D., BCPS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 23, 2007
- Last updated
- Dec 20, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1835P1200X | Pharmacist, Pharmacotherapy | 26023438A | IN | Yes |
| 1835P1200X | Pharmacist, Pharmacotherapy | RPH020650 | GA | |
| 1835P1200X | Pharmacist, Pharmacotherapy | PS34954 | FL |
Practice location
275 W 12th StPeru, IN 46970-1638
Phone 765-472-8004
Mailing address
2020 E Lou LnPeru, IN 46970-8652
Phone 765-460-5066
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.