Individual
MADISON BOUKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
964 POST RD, DARIEN, CT 06820-4508
(203) 655-6335
Mailing address
964 POST RD, DARIEN, CT 06820-4508
(203) 655-6335
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
058321
NY
Other
Enumeration date
11/20/2013
Last updated
10/19/2022
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