Individual provider · Type 1 NPI

Ricardo Stephann Bourgoin, PharmD

Pharmacist · Columbus, GA

NPI number 1326648338 Active

Practice location

5448 Whittlesey Blvd
Columbus, GA 31909-7295

Mailing address

3699 Lear Ct
Douglasville, GA 30135-7745

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000XPS58805 (FL)
Pharmacist 183500000X067171-01 (NY)
Pharmacist Primary 183500000XRPH031163 (GA)

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…

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About NPI 1326648338

Ricardo Stephann Bourgoin, PharmD's National Provider Identifier is 1326648338, issued on Oct 28, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Columbus, GA. The record was last updated on Oct 28, 2020.