Organization
BOUVIER PHARMACY INC
Active
Other names
BOUVIER PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN BOUVIER (PRESIDENT)
(508) 485-0432
Entity
Organization
Contact information
Practice address
515 LINCOLN ST, MARLBOROUGH, MA 01752-2088
(508) 485-0432
(508) 485-8777
Mailing address
515 LINCOLN ST, MARLBOROUGH, MA 01752-2088
(508) 485-0432
(508) 485-8777
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
DS90037
MA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02923619
—
NY
05
—
0418536
—
MA
01
—
2039144
PK
—
05
—
30705177
—
NH
Enumeration date
09/08/2005
Last updated
01/18/2017
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