Joshua Boudeman PHARMD

NPI 1649557661 - Pharmacist - 183500000X

NPI Details
NPI 1649557661
Gender Male
Enumeration Date 11/04/2011
Last Updated 11/04/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
3920 HAMPTON AVE
SAINT LOUIS MO, 63109-1401, US
Phone (314) 351-2100
Fax
Business Location
3920 HAMPTON AVE
SAINT LOUIS MO, 63109-1401, US
Phone (314) 351-2100
Fax
Toxanomy
Taxonomy Code 183500000X
License State Missouri
License Number 2011026558
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According to our database, Dr. Joshua Boudeman PHARMD NPI is 1649557661, taxonomy code is 183500000X and license number is 2011026558, license state is located at Missouri. Joshua Boudeman PHARMD physically located at 3920 Hampton Ave, Saint Louis MO, 63109-1401. NPI Number Joshua Boudeman PHARMD has the Individual type.

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1649557661 NPI number is provided on an as is basis without warranty of any kind. 1649557661 is maintained by the National Plan & Provider Enumeration System. The contents of Joshua Boudeman PHARMD are for informational purposes only.