Provider Demographics
NPI:1578668935
Name:BOTTS, SHEILA R (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:R
Last Name:BOTTS
Suffix:
Gender:F
Credentials:PHARMD
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Mailing Address - Street 1:158 TREETOP CT
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40324-9110
Mailing Address - Country:US
Mailing Address - Phone:502-867-4813
Mailing Address - Fax:859-323-0069
Practice Address - Street 1:1101 VETERANS DR
Practice Address - Street 2:CDD 119
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40502-2235
Practice Address - Country:US
Practice Address - Phone:859-233-4511
Practice Address - Fax:859-323-0069
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY105221835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric