Bouchard, Bradley

Bouchard, Bradley is an sole proprietor health care provider with primary practice located at 302 Main St , Old Town ME 04468-1535. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Bouchard, Bradley can be contacted via phone (207) 827-8021.

Contact Information

Primary practice address
302 Main St Old Town ME 04468-1535
Phone: (207) 827-8021
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PR27869 Maine

Profile Details

NPI number 1629486774
LBN Legal business name Bouchard, Bradley
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2014
Last updated Jul 31st, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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