Mark Boudreau, PHARMD

NPI #1558996884 in Bloomington, Minnesota

Provider Information

NPI Number: 1558996884
Entity Type: Individual
Name: Mark Boudreau, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Mar 6, 2020
Last Updated: Mar 6, 2020

Practice Location

Address: 3913 W OLD SHAKOPEE RD
City: Bloomington
State: Minnesota
ZIP Code: 55437-2944
Phone: (952) 252-1062

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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