Individual
EVAN PAUL BOUDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
11800 HAYNES BRIDGE RD STE B, ALPHARETTA, GA 30009-7994
(770) 752-4966
Mailing address
11800 HAYNES BRIDGE RD STE B, ALPHARETTA, GA 30009-7994
(770) 752-4966
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH027241
GA
Other
Enumeration date
07/20/2013
Last updated
07/20/2013
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