Tracie Boudreau RPH

NPI 1275823940 - Pharmacist - 183500000X

NPI Details
NPI 1275823940
Gender Female
Enumeration Date 04/14/2011
Last Updated 04/14/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1099 WASHINGTON ST
SOUTH ATTLEBORO MA, 02703-7944, US
Phone (508) 399-8070
Fax (508) 761-6150
Business Location
807 PAINE RD
NORTH ATTLEBORO MA, 02760-6218, US
Phone (508) 643-9557
Fax
Toxanomy
Taxonomy Code 183500000X
License State Massachusetts
License Number PH22832
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According to our database, Mrs. Tracie Boudreau RPH NPI is 1275823940, taxonomy code is 183500000X and license number is PH22832, license state is located at Massachusetts. Tracie Boudreau RPH physically located at 1099 Washington St, South Attleboro MA, 02703-7944. NPI Number Tracie Boudreau RPH has the Individual type.

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1275823940 NPI number is provided on an as is basis without warranty of any kind. 1275823940 is maintained by the National Plan & Provider Enumeration System. The contents of Tracie Boudreau RPH are for informational purposes only.