Individual
DR. CHAD BOUGHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
7017 NOAH DR APT 201, CALDWELL, ID 83607-5339
(208) 484-6895
Mailing address
7017 NOAH DR APT 201, CALDWELL, ID 83607-5339
(208) 484-6895
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6161
ID
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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