Individual
SARAH CHRISTINE BOUDINOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1655 W KIMBERLY RD, DAVENPORT, IA 52806-5532
(563) 388-7856
Mailing address
1655 W KIMBERLY RD, DAVENPORT, IA 52806-5532
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.299530
IL
183500000X
Pharmacist
21620
AL
183500000X
Pharmacist
Primary
22931
IA
183500000X
Pharmacist
PS60965
FL
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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