Individual
BRIAN BOUVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 WESTPORT AVE, NORWALK, CT 06851-3931
(203) 845-0457
Mailing address
55 WESTPORT AVE, NORWALK, CT 06851-3931
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0013116
CT
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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