Individual
BRANDON BOUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST CLINICIAN
Contact information
Practice address
500 S 99TH AVE, TOLLESON, AZ 85353-9700
(928) 782-2529
Mailing address
500 W 24TH ST, YUMA, AZ 85364-6430
(928) 782-2529
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
S026092
AZ
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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