David Bourbonnais

NPI #1811591985 in Peru, Illinois

Provider Information

NPI Number: 1811591985
Entity Type: Individual
Name: David Bourbonnais
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Nov 29, 2020
Last Updated: Nov 29, 2020

Practice Location

Address: 1004 SHOOTING PARK RD
City: Peru
State: Illinois
ZIP Code: 61354-1871
Phone: (815) 224-1411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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