Individual
GERARD P. BOUCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
121 MEDICAL CENTER DR, SUITE G-500, BRUNSWICK, ME 04011-2653
(207) 729-3642
(207) 729-2704
Mailing address
121 MEDICAL CENTER DRIVE, SUITE G-500, BRUNSWICK, ME 04011
(207) 729-3642
(207) 729-2704
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR2767
ME
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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