Individual
KATHERINE MARY BOUDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5421 W THUNDERBIRD RD, GLENDALE, AZ 85306-4751
(602) 547-9645
(602) 843-5477
Mailing address
5421 W THUNDERBIRD RD, GLENDALE, AZ 85306-4751
(602) 547-9645
(602) 843-5477
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S010422
AZ
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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