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Individual

DR. ALEXES H BOUCHARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
140 MAPLE GRV, SPRINGFIELD, IL 62712-9567
(315) 243-1804
Mailing address
140 MAPLE GRV, SPRINGFIELD, IL 62712-9567
(315) 243-1804

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.292599
IL

Other

Enumeration date
09/19/2011
Last updated
09/19/2011
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