Individual
JASON MICHAEL BOUVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
403 FURYS FERRY RD, MARTINEZ, GA 30907-9038
(706) 650-3665
Mailing address
2384 WHEELESS RD, AUGUSTA, GA 30906-5404
(706) 836-7547
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PHTC066137
GA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
10/08/2018
Last updated
09/11/2025
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