Samuel Boucher

NPI #1467093161 in Logan, Utah

Provider Information

NPI Number
1467093161
Entity Type
Individual
Name
Samuel Boucher
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Oct 3, 2019
Last Updated
Oct 3, 2019

Practice Location

Address
750 N MAIN ST
City
Logan
State
Utah
ZIP Code
84321-3227
Phone
(435) 753-1643

Specialties & Taxonomy Codes

Specialty
Pharmacist

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