Individual
MRS. MELISSA BOURQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
TOGUS VAMC, ONE VA CENTER (119), AUGUSTA, ME 04330
(207) 623-8411
(207) 623-5785
Mailing address
28 FAIRVIEW AVE, AUGUSTA, ME 04330-5832
(207) 621-0433
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21349
MA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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