Individual
SHERRIE ANNE BOUCHARD I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
194 E MAIN ST, FORT KENT, ME 04743-1428
(207) 834-1647
(207) 834-1648
Mailing address
194 E MAIN ST, FORT KENT, ME 04743-1428
(207) 834-1647
(207) 834-1648
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR12893
ME
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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