Michael Boudreau

NPI #1518244649 in Ellsworth, Maine

Provider Information

NPI Number: 1518244649
Entity Type: Individual
Name: Michael Boudreau
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Nov 3, 2011
Last Updated: Nov 3, 2011

Practice Location

Address: 175 HIGH ST
City: Ellsworth
State: Maine
ZIP Code: 04605-1730
Phone: (207) 669-3005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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