- Practice location
- 302 Main St, Old Town, ME 04468-1535
- Phone
- 207-827-8021
- Fax
- —
- Last updated
- July 31, 2014
Bradley Bouchard is a Pharmacist based in Old Town, ME. Bradley Bouchard practices in Old Town, ME. The NPI Number for Bradley Bouchard is 1629486774 and holds a License No. PR27869 (ME). The current practice location address for Bradley Bouchard is 302 Main St, Old Town, ME 04468-1535 and can be reached out via phone at 207-827-8021.
Provider Profile Details
- NPI Number
- 1629486774
- Provider Name
- Bradley Bouchard
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 302 Main St, Old Town, ME 04468-1535
- Phone Number
- 207-827-8021
- Primary Taxonomy
- Pharmacist · 183500000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 31, 2014
- Last Update Date
- July 31, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 302 Main St
Old Town, ME 04468-1535 - City
- Old Town
- State
- Maine
- Zip
- 04468-1535
- Phone Number
- 207-827-8021
Provider Business Mailing Address Details
- Address
- 41 Colony Pl
Millinocket, ME 04462-1901 - City
- Millinocket
- State
- ME
- Zip
- 04462-1901
- Phone Number
- 207-731-3810
License Information
- License Number
- PR27869
- License State
- ME
- Taxonomy
- Pharmacist · 183500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pharmacists near Old Town, ME
View all Pharmacists in Old Town →- Jan L BooysenPharmacist · NPI 1770878845
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- Sara K Cyr, SLP/ASpecialist/Technologist, Speech-Language Assistant · NPI 1447156138
- Julia V Clark, RNRegistered Nurse · NPI 1760302822
- Jeffrey L Boucher, PMHNPNurse Practitioner, Psych/Mental Health · NPI 1124973938
- Mrs. Anna S Clark, MSCounselor, Professional · NPI 1902402290
Frequently Asked Questions
What is the NPI number of Bradley Bouchard?
The NPI number of Bradley Bouchard is 1629486774. It was assigned on July 31, 2014 and is currently active in the NPPES registry.
What is the specialty of Bradley Bouchard?
Bradley Bouchard is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in ME under license number PR27869.
Where does Bradley Bouchard practice?
The practice location is 302 Main St, Old Town, ME 04468-1535. The office can be reached at 207-827-8021 (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 1629486774 directly on the NPPES registry website.