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NPI Code Detail

MEDICARE: DR. SHEILA R BOTTS PHARM.D.

MEDICARE: DR. SHEILA R BOTTS PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P1300XPsychiatric Pharmacist10522KY

General Provider Information

NPI Number : 1578668935
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHEILA R BOTTS PHARM.D.
Provider Business Mailing Address
First Line : 158 TREETOP CT
Second Line :
City : GEORGETOWN
State : KY
Zip : 40324-9110
Country : US
Telephone Number : 502-867-4813
Fax Number : 859-323-0069
Provider Business Practice Location Address
First Line : 1101 VETERANS DR
Second Line : CDD 119
City : LEXINGTON
State : KY
Zip : 40502-2235
Country : US
Telephone Number : 859-233-4511
Fax Number : 859-323-0069
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2006
Last Update Date : 07/08/2007

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