Individual provider · Type 1 NPI
Tracie Boudreau
Pharmacist · St. Johns, FL
Practice location
450 State Road 13 Suite 109
St. Johns, FL 32259
Mailing address
450 State Road 13 Ste 109
St. Johns, FL 32259-3861
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | PS38130 (FL) |
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 1750629994
Tracie Boudreau's National Provider Identifier is 1750629994, issued on Jan 23, 2013. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in St. Johns, FL. The record was last updated on Jan 23, 2013.