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
Mailing addressPo Box 210207, Tucson, AZ 85721-0207

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