Individual
CLARIVEL BOURQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
905 N GULF BLVD, FREEPORT, TX 77541-3907
(281) 824-1470
Mailing address
258 N SHANKS ST, CLUTE, TX 77531-4128
(979) 341-3704
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
69492
TX
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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