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NPI Code Detail

MEDICARE: WARREN BOOKER

MEDICARE: WARREN BOOKER
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
1183500000XPharmacist0202004549VA

General Provider Information

NPI Number : 1649796855
Entity Type Code : Individual
Provider Name (Legal Business Name) : WARREN BOOKER
Provider Business Mailing Address
First Line : 20276 TIMBERLAKE RD STE A
Second Line :
City : LYNCHBURG
State : VA
Zip : 24502-7214
Country : US
Telephone Number : 434-237-6337
Fax Number :
Provider Business Practice Location Address
First Line : 20276 TIMBERLAKE RD STE A
Second Line :
City : LYNCHBURG
State : VA
Zip : 24502-7214
Country : US
Telephone Number : 434-237-6337
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2017
Last Update Date : 07/21/2022

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Directions to “ WARREN BOOKER ” Practice Location

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