Active NPIIndividual provider

Dr. Marybeth Boudreau, PHARMD

Pharmacist, Pharmacotherapy in Bangor, Maine

NPI Number1477546380
Practice location
489 State St, Bangor, ME 04401-6616
Fax
—
Last updated
July 13, 2026

Marybeth Boudreau is a Pharmacist, Pharmacotherapy based in Bangor, ME. Marybeth Boudreau practices in Bangor, ME and has the professional credentials of PHARMD. The NPI Number for Marybeth Boudreau is 1477546380 and holds a License No. pr4792 (ME). The current practice location address for Marybeth Boudreau is 489 State St, Bangor, ME 04401-6616 and can be reached out via phone at 207-973-8927.

Provider Profile Details

NPI Number
1477546380
Provider Name
Marybeth Boudreau
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
489 State St, Bangor, ME 04401-6616
Phone Number
207-973-8927
Primary Taxonomy
Pharmacist, Pharmacotherapy · 1835P1200X
Sole Proprietor
No
Provider Enumeration Date
August 25, 2005
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
489 State St
Bangor, ME 04401-6616
City
Bangor
State
Maine
Zip
04401-6616
Phone Number
207-973-8927
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
261 Troy Center RD
Troy, ME 04987-3152
City
Troy
State
ME
Zip
04987-3152
Phone Number
207-948-2665

License Information

License Number
pr4792
License State
ME
Taxonomy
Pharmacist, Pharmacotherapy · 1835P1200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Marybeth Boudreau, PHARMD?

The NPI number of Dr. Marybeth Boudreau, PHARMD is 1477546380. It was assigned on August 25, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Marybeth Boudreau, PHARMD?

Dr. Marybeth Boudreau, PHARMD is registered under the primary taxonomy Pharmacist, Pharmacotherapy (code 1835P1200X), licensed in ME under license number pr4792.

Where does Dr. Marybeth Boudreau, PHARMD practice?

The practice location is 489 State St, Bangor, ME 04401-6616. The office can be reached at 207-973-8927 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477546380 directly on the NPPES registry website.

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