person
Matthew William Bouchard, BS
Pharmacist in Las Vegas, Nevada
NPI 1215276902

Matthew William Bouchard is a Pharmacist based in Las Vegas, NV. Matthew William Bouchard practices in Las Vegas, NV and has the professional credentials of BS. The NPI Number for Matthew William Bouchard is 1215276902 and holds a License No. 16706 (Nevada).

The current practice location address for Matthew William Bouchard is 6380 Polaris Ave Unit B, Las Vegas, NV and can be reached out via phone at 702-269-2005 and via fax at 702-269-4428.

Location: 6380 Polaris Ave Unit B, Las Vegas, NV, 89118-3821
person
Provider Profile Details
NPI Number
1215276902
Provider Name
Matthew William Bouchard
Credential
BS
Provider Entity Type
Individual
Gender
Male
Address
6380 Polaris Ave Unit B, Las Vegas, NV, 89118-3821
Phone Number
702-269-2005
Fax Number
702-269-4428
Provider Enumeration Date
01/31/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016497 01 KY PHARMACIST LICENSE
P11976 01 MS PHARMACIST LICENSE
PD11738 01 AR PHARMACIST LICENSE
16706 01 NV PHARMACIST LICENSE
S019524 01 AZ PHARMACIST LICENSE
36982 01 TN PHARMACIST LICENSE
RPH-0012926 01 OR PHARMACIST LICENSE
14059 01 NE PHARMACIST LICENSE
202011979 01 VA PHARMACIST LICENSE
PST.019679 01 LA PHARMACIST LICENSE
20910 01 MD PHARMACIST LICENSE
institution
Provider Business Practice Location Address Details
Address
6380 Polaris Ave Unit B
City
State
Zip
89118-3821
Phone Number
702-269-2005
Fax Number
702-269-4428
person
Provider Business Mailing Address Details
Address
6380 Polaris Ave Unit B
City
State
Zip
89118-3821
Phone Number
702-269-2005
Fax Number
702-269-4428
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
License No.
16706 (Nevada)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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