Individual
MATTHEW WILLIAM BOUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
6380 POLARIS AVE UNIT B, LAS VEGAS, NV 89118-3821
(702) 269-2005
(702) 269-4428
Mailing address
6380 POLARIS AVE UNIT B, LAS VEGAS, NV 89118-3821
(702) 269-2005
(702) 269-4428
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16706
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016497
PHARMACIST LICENSE
KY
01
—
14059
PHARMACIST LICENSE
NE
01
—
16706
PHARMACIST LICENSE
NV
01
—
202011979
PHARMACIST LICENSE
VA
01
—
20910
PHARMACIST LICENSE
MD
01
—
36982
PHARMACIST LICENSE
TN
01
—
P11976
PHARMACIST LICENSE
MS
01
—
PD11738
PHARMACIST LICENSE
AR
01
—
PST.019679
PHARMACIST LICENSE
LA
01
—
RPH-0012926
PHARMACIST LICENSE
OR
01
—
S019524
PHARMACIST LICENSE
AZ
Enumeration date
01/31/2013
Last updated
01/27/2014
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