Provider Demographics
NPI:1639518434
Name:BOOKER, TRULA R (RPH)
Entity Type:Individual
Prefix:
First Name:TRULA
Middle Name:R
Last Name:BOOKER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5511 AUSTIN ST
Mailing Address - Street 2:SUITE 1E
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-7144
Mailing Address - Country:US
Mailing Address - Phone:713-533-9151
Mailing Address - Fax:
Practice Address - Street 1:5511 AUSTIN ST
Practice Address - Street 2:SUITE 1E
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-7144
Practice Address - Country:US
Practice Address - Phone:713-533-9151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-14
Last Update Date:2013-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29494183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX28548OtherTEXAS STATE BOARD OF PHARMACY