Individual
DR. DAVID STEVEN BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1595 OPOSSUMTOWN PIKE, FREDERICK, MD 21702-4313
(301) 631-2013
Mailing address
1595 OPOSSUMTOWN PIKE, FREDERICK, MD 21702-4313
(301) 631-2013
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202215428
VA
183500000X
Pharmacist
Primary
24609
MD
183500000X
Pharmacist
40456
TN
183500000X
Pharmacist
PH100002929
DC
Other
Enumeration date
12/29/2016
Last updated
07/26/2017
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