Individual provider · Type 1 NPI

Thomas Boucher

Pharmacist · Green Bay, WI

NPI number 1629409099 Active

Practice location

301 Bay Park Sq
Green Bay, WI 54304-5104

Call (920) 499-5889 Map

Mailing address

E125 Cherneyville Rd
Luxemburg, WI 54217-7464

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X8802-40 (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 1629409099

Thomas Boucher's National Provider Identifier is 1629409099, issued on Dec 10, 2013. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Green Bay, WI. The record was last updated on Dec 10, 2013.