Robert Bouche

NPI #1306912159 in Sheboygan, Wisconsin

Provider Information

NPI Number: 1306912159
Entity Type: Individual
Name: Robert Bouche
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Nov 24, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3529 SUPERIOR AVE
City: Sheboygan
State: Wisconsin
ZIP Code: 53081-1865
Phone: (920) 459-2755

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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