Wayne D Bourque, RPH

NPI #1952558371 in Augusta, Maine

Provider Information

NPI Number: 1952558371
Entity Type: Individual
Name: Wayne D Bourque, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Aug 27, 2008
Last Updated: Aug 27, 2008

Practice Location

Address: 1 VA CTR
City: Augusta
State: Maine
ZIP Code: 04330-6719
Phone: (207) 623-8411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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