Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. J. Lyle Bootman, PHD

Individual provider Pharmacist · NPI 1184621393

Dr. J. Lyle Bootman, PHD is a Pharmacist in Tucson, Arizona. Licensed in Arizona. Registered with an NPI since 2005.

Licensed in
AZ
In the registry since
2005
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1703 E Mabel St
Tucson, AZ 85721-0001
Phone: (520) 626-1657
Fax: (520) 626-4063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 5872 (AZ)

Record details

NPI number1184621393
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJuly 1, 2005
Last updated in NPPESJuly 13, 2026

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