Individual provider · Type 1 NPI

Amie Nicole Boulanger, RPH

Pharmacist · Granger, IN

NPI number 1972190254 Active

Practice location

12850 Adams Rd
Granger, IN 46530-7183

Mailing address

65875 Turpin Rd
Cassopolis, MI 49031-9630

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X26019763A (IN)

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 1972190254

Amie Nicole Boulanger, RPH's National Provider Identifier is 1972190254, issued on Dec 21, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Granger, IN. The record was last updated on Dec 22, 2020.