Individual provider · Type 1 NPI

Michael C. Boushon, R.PH.

Pharmacist · Lac Du Flambeau, WI

NPI number 1376598946 Active

Practice location

450 Old Abe Rd
Lac Du Flambeau, WI 54538-9682

Call (715) 588-4267 Map

Mailing address

514 2nd Ave N
Park Falls, WI 54552-1325

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X8877-040 (WI)

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 1376598946

Michael C. Boushon, R.PH.'s National Provider Identifier is 1376598946, issued on May 23, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Lac Du Flambeau, WI. The record was last updated on Aug 21, 2008.