MEDICARE: TRULA R BOOKER RPH

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
1	183500000X	Pharmacist	29494	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	28548	OTHER	TX	TEXAS STATE BOARD OF PHARMACY

General Provider Information

NPI Number	:	1639518434
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRULA R BOOKER RPH

Provider Business Mailing Address
First Line	:	5511 AUSTIN ST
Second Line	:	SUITE 1E
City	:	HOUSTON
State	:	TX
Zip	:	77004-7144
Country	:	US
Telephone Number	:	713-533-9151
Fax Number	:

Provider Business Practice Location Address
First Line	:	5511 AUSTIN ST
Second Line	:	SUITE 1E
City	:	HOUSTON
State	:	TX
Zip	:	77004-7144
Country	:	US
Telephone Number	:	713-533-9151
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2013
Last Update Date	:	06/14/2013

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Directions to “ TRULA R BOOKER RPH” Practice Location

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