Provider Demographics
NPI:1982739355
Name:BOOTH ENTERPRISES INC
Entity Type:Organization
Organization Name:BOOTH ENTERPRISES INC
Other - Org Name:GILSTRAP DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:BOOTH
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:334-684-2272
Mailing Address - Street 1:501 S COMMERCE ST
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:AL
Mailing Address - Zip Code:36340-2420
Mailing Address - Country:US
Mailing Address - Phone:334-684-2272
Mailing Address - Fax:334-684-2273
Practice Address - Street 1:501 S COMMERCE ST
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:AL
Practice Address - Zip Code:36340-2420
Practice Address - Country:US
Practice Address - Phone:334-684-2272
Practice Address - Fax:334-684-2273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL111831332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies