Julie Lynn Booth-Moran, RPH
Individual provider Active NPI Pharmacist · Century, FL
NPI 1568680809 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1568680809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS20241 (FL)
- Practice address
- 7531 Mayo St
Century, FL 32535-2906 - Phone
- (850) 256-3472
- Fax
- (850) 256-3529
- NPI assigned
- Apr 23, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS20241 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Century Pharmacy, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS20241 | FL | Yes |
Addresses
Primary practice location
7531 Mayo St
Century, FL 32535-2906
Mailing address
7531 Mayo St
Century, FL 32535-2906
Phone (850) 256-3472
Other providers in Century, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.