Healthcare Provider Details

I. General information

NPI: 1720900574
Provider Name (Legal Business Name): MARGARET ELIZABETH BOOTH RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2026
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3475 PARKWAY VILLAGE CIR
WINSTON SALEM NC
27127-6857
US

IV. Provider business mailing address

905 HAVEL CT
CHARLOTTE NC
28211-4248
US

V. Phone/Fax

Practice location:
  • Phone: 336-771-7911
  • Fax:
Mailing address:
  • Phone: 704-712-4250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number34812
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: