Individual
CHRISTINE MARION BOUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
40 FENNELL ST, SKANEATELES, NY 13152-1122
(315) 685-0736
Mailing address
40 FENNELL ST, SKANEATELES, NY 13152-1122
(315) 685-0736
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
053693-1
NY
Other
Enumeration date
03/15/2010
Last updated
04/06/2014
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