SearchIllinois183500000X

Gregory Booth, PHARM.D

NPI 1639779150 · on the registry since 2020

Practice

Address
2760 N Dirksen Pkwy
Springfield, IL 62702
Phone
(217) 522-4054
Fax
(217) 522-4075
Organisation at this address
Walmart Inc.
Wal-Mart Stores, Inc
Tristate Professional Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
183500000X
183500000X
Also registered as
183500000X
Licence states on file
TX, IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-10-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois