Tammy Rene Boucher

NPI #1366944100 in Martin, Tennessee

Provider Information

NPI Number
1366944100
Entity Type
Individual
Name
Tammy Rene Boucher
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Mar 7, 2018
Last Updated
Mar 7, 2018

Practice Location

Address
536 PARHAM RD
City
Martin
ZIP Code
38237-7147
Phone
(731) 514-7067

Specialties & Taxonomy Codes

Specialty
Pharmacist

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