Provider Demographics
NPI:1962189332
Name:BOOHER, CHELSEA GENTRY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHELSEA
Middle Name:GENTRY
Last Name:BOOHER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 HARBOR COVE LN APT 2000D
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412-3016
Mailing Address - Country:US
Mailing Address - Phone:865-500-9786
Mailing Address - Fax:
Practice Address - Street 1:907 FOLLY RD
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29412-3919
Practice Address - Country:US
Practice Address - Phone:843-795-5452
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC43927183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist