Individual
DOUGLAS W BOUCHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
352 N ROSS ST, BEAVERTON, MI 48612-8165
(989) 435-7727
(989) 435-3779
Mailing address
1905 CHURCHILL BLVD, MT PLEASANT, MI 48858-9100
(989) 775-0828
(989) 775-0828
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
13803-040
WI
183500000X
Pharmacist
Primary
5302023892
MI
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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