Individual provider · Type 1 NPI

Bruce Boushon, RPH

Pharmacist · Payson, AZ

NPI number 1003858218 Active

Practice location

142 E St Hwy 260
Payson, AZ 85541-4948

Fax (928) 474-3415

Other practice locations

  • 825 W Fulton St, Waupaca, WI 54981-1471 · (715) 258-9000

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X12756 (WI)
Pharmacist 183500000XS021084 (AZ)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

2 other providers at this address

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About NPI 1003858218

Bruce Boushon, RPH's National Provider Identifier is 1003858218, issued on Jun 12, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Payson, AZ. The record was last updated on Dec 2, 2020.