Individual provider · Type 1 NPI

Bradley Bouchard

Pharmacist · Old Town, ME

NPI number 1629486774 Active

Practice location

302 Main St
Old Town, ME 04468-1535

Mailing address

41 Colony Pl
Millinocket, ME 04462-1901

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPR27869 (ME)

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 1629486774

Bradley Bouchard's National Provider Identifier is 1629486774, issued on Jul 31, 2014. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Old Town, ME. The record was last updated on Jul 31, 2014.