Individual
MR. BRUCE BOUSHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
142 E ST HWY 260, PAYSON, AZ 85541-4948
(928) 474-7039
(928) 474-3415
Mailing address
142 E ST HWY 260, PAYSON, AZ 85541-4948
(928) 474-7039
(928) 474-3415
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12756
WI
183500000X
Pharmacist
S021084
AZ
Other
Enumeration date
06/12/2006
Last updated
12/02/2020
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